Individual
KERRY KELSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3040 HAMMOND BUSINESS PL # 105, RALEIGH, NC 27603-3666
(919) 286-0411
Mailing address
2202 MCQUEEN DR, DURHAM, NC 27705-3798
(919) 286-0411
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6655
NC
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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