Individual
FELICIA NICHOLE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPA
Contact information
Practice address
408 PEBBLESTONE DR, DURHAM, NC 27703-6334
(727) 280-3722
Mailing address
408 PEBBLESTONE DR, DURHAM, NC 27703-6334
(727) 280-3722
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5886
NC
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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