Individual
KELLY MARIE BUCHHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
555 KITCHINGS DR, STATESVILLE, NC 28677-3576
(704) 978-1144
(704) 978-1148
Mailing address
PO BOX 1845, STATESVILLE, NC 28687-1845
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5017169
NC
Other
Enumeration date
11/02/2022
Last updated
04/23/2025
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