Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 5007889 | NC |
NPI | 1013307412 |
---|---|
Provider Name | Kelly Frances Doyle |
First Address | Cary, NC 27513-5723 |
Second Address | Durham, NC 27705-3875 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2015 |
Last Update Date | 25/08/2015 |