Individual
KELLEY LYN REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, NP-C
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 684-8111
Mailing address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
265237
NC
363L00000X
Nurse Practitioner
Primary
5010565
NC
Other
Enumeration date
06/01/2018
Last updated
09/15/2020
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