Individual
MR. KEVIN LEE CHAVIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 615-5680
Mailing address
PO BOX 40908, FAYETTEVILLE, NC 28309-0908
(910) 615-6949
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
313795
NC
363L00000X
Nurse Practitioner
5019803
NC
363LF0000X
Family Nurse Practitioner
Primary
5019803
NC
Other
Enumeration date
01/25/2024
Last updated
08/07/2025
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