Individual
KALEI REID TACIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10000 PARK CEDAR DR, CHARLOTTE, NC 28210-8902
(704) 667-3600
Mailing address
10000 PARK CEDAR DR, CHARLOTTE, NC 28210-8902
(704) 667-3600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5021835
NC
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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