Individual
KELLY MADISON KITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 847-4100
Mailing address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
5015565
NC
Other
Enumeration date
01/15/2022
Last updated
01/19/2023
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