Amy Henderson Kelly PNP

NPI 1528067238 - Nurse Practitioner - 363LP0200X

NPI Details
NPI 1528067238
Gender Female
Enumeration Date 07/15/2005
Last Updated 06/20/2016
Entity Type Individual
Active Over 12 years ago
Practice Location
CHARLOTTE NC, 28204-3109, US
Phone (704) 376-1605
Fax (704) 335-8448
Business Location
PO BOX 601372
CHARLOTTE NC, 28260-1372, US
Phone (704) 376-1605
Fax (704) 335-8448
Taxonomy Code 363LP0200X
License State North Carolina
License Number 300250
Remove 1528067238 NPI Number

According to our database, Amy Henderson Kelly PNP NPI is 1528067238, taxonomy code is 363LP0200X and license number is 300250, license state is located at North Carolina. Amy Henderson Kelly PNP physically located at 225 Baldwin Ave, Charlotte NC, 28204-3109. NPI Number Amy Henderson Kelly PNP has the Individual type.

1528067238 NPI number is provided on an as is basis without warranty of any kind. 1528067238 is maintained by the National Plan & Provider Enumeration System. The contents of Amy Henderson Kelly PNP are for informational purposes only.