Individual
KELEY BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
417 E STATESVILLE AVE, MOORESVILLE, NC 28115-2590
(704) 663-3063
Mailing address
417 E STATESVILLE AVE, MOORESVILLE, NC 28115-2590
(704) 663-3063
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5020475
NC
363LF0000X
Family Nurse Practitioner
Primary
500475
NC
Other
Enumeration date
07/02/2024
Last updated
06/11/2026
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