Individual
MRS. JUDITH EILEEN KALLWEIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
600 MOYE BLVD, LSB 188 MAIL STOP 640, GREENVILLE, NC 27834-4300
(252) 744-2070
(252) 744-2417
Mailing address
1503 PELHAM RD, WINTERVILLE, NC 28590-9304
(252) 744-2070
(252) 744-2417
Taxonomy
Speciality
Code
Description
License number
State
364SX0106X
Occupational Health Clinical Nurse Specialist
Primary
201406
NC
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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