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1699152025
CRYSTAL KELLY
DAVIDSON, NC
NPI
1699152025
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 200588)
Enumeration Date
2015-05-06
Last Update Date
2015-05-06
Business Address
-- CRYSTAL KELLY Rn, FNP
903 NORTHEAST DR SUITE 301
DAVIDSON, NC 28036-7416
Phone number: 704-894-9309
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Mailing Address
-- CRYSTAL KELLY Rn, FNP
143 DRAPER DR
STATESVILLE, NC 28625-2541
Phone number: 704-682-3194
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