Individual
KATHRYN MARIE KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
571 S ALLEN RD, FLAT ROCK, NC 28731
(828) 692-6178
Mailing address
571 S ALLEN RD, FLAT ROCK, NC 28731-9447
(828) 692-6178
(828) 692-2365
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5010374
NC
363L00000X
Nurse Practitioner
ARNP936655
FL
363LF0000X
Family Nurse Practitioner
Primary
5010374
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
302650
RN
NC
01
—
5010374
NURSE PRACTITIONER
NC
01
—
9360655
RN
FL
Enumeration date
01/19/2018
Last updated
03/07/2023
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