Individual
MRS. MELISSA D KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
802 GREEN VALLEY RD, STE. 210, GREENSBORO, NC 27408-7041
(336) 510-5510
(336) 810-5515
Mailing address
1701 WESTCHESTER DR, STE. 850, HIGH POINT, NC 27262-7008
(336) 802-2400
(336) 802-2534
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
ARNP9169528
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
5008997
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307942200
—
FL
Enumeration date
09/01/2006
Last updated
10/17/2016
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