| NPI | 1326719055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI KELLEY Owner 828-850-7094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2023-06-13 |