Individual
MRS. KELLY K ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5015 SOUTHPARK DR, SUITE 200, DURHAM, NC 27713-7746
(919) 794-5501
(919) 794-5501
Mailing address
5015 SOUTHPARK DR, SUITE 200, DURHAM, NC 27713-7736
(919) 794-5501
(919) 794-5501
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3117
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000837
—
NC
Enumeration date
08/31/2006
Last updated
01/24/2012
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