Individual
KELLY DAVIS HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
2555 COURT DR, GASTONIA, NC 28054-2134
(704) 868-3256
Mailing address
2555 COURT DR, GASTONIA, NC 28054-2134
(704) 868-3256
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
195246
NC
Other
Enumeration date
09/06/2013
Last updated
09/06/2013
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