Individual
ERIN ELIZABETH KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6915 VILLAGE MEDICAL CIR, CLEMMONS, NC 27012-8002
(336) 893-1527
(336) 893-1596
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5006073
NC
363LA2200X
Adult Health Nurse Practitioner
5006073
NC
Other
Enumeration date
12/01/2006
Last updated
06/02/2022
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