Individual
MS. RYAN ASHLEY KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
783 ASHFIELD DR, FAYETTEVILLE, NC 28311-2005
(252) 903-6205
Mailing address
783 ASHFIELD DR, FAYETTEVILLE, NC 28311-2005
(252) 903-6205
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
95088
NC
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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