Individual
MS. LORRAINE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2580 PICKARD RD, WILMINGTON, NC 28403-4461
(910) 332-0701
Mailing address
2580 PICKARD RD, WILMINGTON, NC 28403-4461
(910) 332-0701
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
5015395
NC
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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