Organization
KELLY K. ANTHONY, PHD, PLLC
Active
Organization
KELLY K. ANTHONY, PHD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY K ANTHONY PHD (OWNER)
(919) 794-5501
Entity
Organization
Contact information
Practice address
5015 SOUTHPARK DR, SUITE 200, DURHAM, NC 27713-7736
(919) 794-5501
(919) 794-5501
Mailing address
5015 SOUTHPARK DR, SUITE 200, DURHAM, NC 27713-7736
(919) 794-5501
(919) 794-5501
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3117
NC
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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