Individual
KELLIE S CONDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
509 BILTMORE AVE, ASHEVILLE, NC 28801-4601
(828) 254-1111
Mailing address
90 ASHELAND AVE, ASHEVILLE, NC 28801-4021
(828) 254-1111
(828) 251-2744
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
9600492
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8923921
—
NC
Enumeration date
01/17/2006
Last updated
03/11/2008
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