Individual
KELLY ALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(984) 974-1401
Mailing address
213 N CHURCH ST, LOUISBURG, NC 27549-2530
(252) 412-6484
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
5014658
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5014658
NC BOARD OF NURSING
NC
Enumeration date
07/04/2021
Last updated
09/13/2021
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