Individual
KELBY LOMAX MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, A-GNP-C
Contact information
Practice address
3400 WAKE FOREST RD, RALEIGH, NC 27609-7317
(919) 684-7777
(919) 681-1037
Mailing address
3400 WAKE FOREST RD, RALEIGH, NC 27609-7317
(919) 684-7777
(919) 681-1037
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5016325
NC
363LG0600X
Gerontology Nurse Practitioner
5016325
NC
Other
Enumeration date
06/09/2022
Last updated
08/29/2022
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