Individual
KELLY DENISE HERNDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PEER SUPPORT
Contact information
Practice address
4246 WESTERLY CT, ELM CITY, NC 27822-8789
(252) 343-5246
(252) 343-5246
Mailing address
400 SEVEN HILLS ANNEX RD W STE 200, WILSON, NC 27893-3688
(252) 343-5246
(252) 343-5246
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/03/2026
Last updated
04/03/2026
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