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Individual

MS. CATHERINE MARGARET KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
413 OWEN DR, SUITE 201, FAYETTEVILLE, NC 28304-3411
(910) 323-9111
(910) 484-2535
Mailing address
413 OWEN DR, SUITE 201, FAYETTEVILLE, NC 28304-3411
(910) 323-9111
(910) 484-2535

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34794
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
890169H
NC
Enumeration date
11/02/2005
Last updated
10/17/2007
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