Individual
KELLIE BUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3100 DURALEIGH RD, SUITE 300, RALEIGH, NC 27612-8106
(919) 876-4327
Mailing address
3100 DURALEIGH RD, SUITE 300, RALEIGH, NC 27612-8106
(919) 876-4327
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-03080
NC
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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