Individual
KELLY H TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3866 RURAL RETREAT RD STE 104, BURLINGTON, NC 27215-8462
(336) 890-4160
(336) 890-4164
Mailing address
199 EB TATE RD, BURLINGTON, NC 27217-9597
(336) 504-0538
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
201324
NC
363LF0000X
Family Nurse Practitioner
Primary
201324
NC
Other
Enumeration date
04/05/2006
Last updated
04/13/2026
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