Individual
PORNPILAI KECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
108 PROVIDENCE RD, CHARLOTTE, NC 28207-1218
(336) 481-8655
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 481-8655
(336) 277-9165
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5020321
NC
363LA2200X
Adult Health Nurse Practitioner
F307124
NY
Other
Enumeration date
09/01/2015
Last updated
09/30/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us