Individual
KYLEY JENNIFER CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 CHURCH ST, BROADWAY, NC 27505-9394
(919) 258-6521
(919) 258-5368
Mailing address
1125 CARTHAGE ST, SANFORD, NC 27330-4162
(910) 774-6023
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5015281
NC
Other
Enumeration date
10/28/2021
Last updated
04/11/2023
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