KELLY MARIE DE GROOT

CHARLOTTE, NC
NPI1538753983
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NC  5015315)
Enumeration Date2021-02-25
Last Update Date2023-05-22
Business Address
KELLY MARIE DE GROOT
901 E 4TH ST STE D
CHARLOTTE, NC 28204-2622
Phone number: 866-434-3255
Mailing Address
KELLY MARIE DE GROOT
901 E 4TH ST STE D
CHARLOTTE, NC 28204-2622
Phone number: 866-434-3255
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