Individual
KELLI CONNELLY LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
112 DONMOOR CT, GARNER, NC 27529-2500
(888) 837-4819
Mailing address
100 DOUTY CT, CARY, NC 27519-8852
(617) 686-4873
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5004756
NC
Other
Enumeration date
06/14/2011
Last updated
06/14/2011
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