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1134992985
MARION RANDY KELLY
CHARLOTTE, NC
NPI
1134992985
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 2023064441)
Enumeration Date
2023-11-02
Last Update Date
2024-09-15
Business Address
Mr. MARION RANDY KELLY MSN, APRN, FNP-BC
10344 PARK RD STE 200
CHARLOTTE, NC 28210-8505
Phone number: 704-981-0033
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Mailing Address
Mr. MARION RANDY KELLY MSN, APRN, FNP-BC
12705 WITHER STEELE CT
CHARLOTTE, NC 28273-5002
Phone number: 704-477-2565
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