Individual
KELLY C. MCKAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(706) 577-6404
Mailing address
34 CAPRON ST, FORT BRAGG, NC 28307-2038
(706) 577-6404
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1634066
NC
Other
Enumeration date
08/16/2007
Last updated
04/01/2021
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