Avery, Kelly

Avery, Kelly is an individual health care provider with primary practice located at 4420 Lake Boone Trl , Raleigh NC 27607-7505. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Avery, Kelly can be contacted via phone (919) 784-3034.

Contact Information

Primary practice address
4420 Lake Boone Trl Raleigh NC 27607-7505
Phone: (919) 784-3034
Fax: (919) 784-1471
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 113401 North Carolina
Nursing Service Providers / Registered Nurse 163W00000X 247428 North Carolina

Profile Details

NPI number 1275986911
LBN Legal business name Avery, Kelly
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2016
Last updated Nov 22nd, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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