Individual
MONICA MAMINA KELLY-COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
247 W KINGS HWY, EDEN, NC 27288-5009
(336) 637-8329
(336) 450-4358
Mailing address
104 HUNTINGTON PL, DANVILLE, VA 24541-4512
(757) 729-7281
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024175590
VA
Other
Enumeration date
12/11/2017
Last updated
01/25/2021
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