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General NPI Number Information
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NPI Number | 1376115873
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Entity Type | Individual
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Provider Name | KELLI KELLEY DNP-FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/14/2021
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 602 MORGANTON BLVD SW
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City | LENOIR
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State | NC
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Zip | 28645-5823
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Country | US
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Telephone | 828-850-7094
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Fax | 833-449-4125
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Provider Business Mailing Address
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Address Line | 602 MORGANTON BLVD SW
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City | LENOIR
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State | NC
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Zip | 28645-5823
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Country | US
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Telephone | 828-239-9400
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Fax | 833-449-4125
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | KELL-9IQPN
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License Number State | NC
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