Individual
KELLY RAY POOVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
810 FAIRGROVE CHURCH RD, HICKORY, NC 28602-9617
(828) 326-3809
Mailing address
810 FAIRGROVE CHURCH RD, HICKORY, NC 28602-9617
(828) 326-3809
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
216107
NC
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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