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Individual

MARYELLEN S KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, CPNP

Contact information

Practice address
CHC DUKE MEDICAL, 2301 ERWIN ROAD, DURHAM, NC 27710-0001
(919) 684-6994
(919) 681-5507
Mailing address
2301 ERWIN ROAD, CHC - DUKE MEDICAL, DURHAM, NC 27710
(207) 590-0055

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
276416
NC

Other

Enumeration date
08/06/2010
Last updated
07/08/2015
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