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1114955242
KELLY R MORAN
CHARLOTTE, NC
NPI
1114955242
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 5000695)
Enumeration Date
2006-06-29
Last Update Date
2024-07-15
Business Address
KELLY R MORAN NP
1021 MOREHEAD MEDICAL DR STE A
CHARLOTTE, NC 28204-2990
Phone number: 980-442-2000
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Mailing Address
KELLY R MORAN NP
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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