Individual
KELLY ANNETTE CUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
118 ALLENDALE DR, FOREST CITY, NC 28043-2874
(828) 374-0904
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(645) 604-3048
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
26794
SC
363LF0000X
Family Nurse Practitioner
Primary
5019657
NC
Other
Enumeration date
11/15/2022
Last updated
08/15/2024
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