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Individual

MS. LORRAINE ELLEN KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1725 NEW HANOVER MEDICAL PARK DR, WILMINGTON, NC 28403-5345
(910) 662-9300
(910) 662-9301
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5015395
NC
363LP2300X
Primary Care Nurse Practitioner
5015395
NC

Other

Enumeration date
11/30/2021
Last updated
07/30/2026
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