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Kathleen Kelly Carroll, MS,MA,APRN-BC
Psychiatric/Mental Health Nurse Practitioner in Fayetteville, North Carolina
NPI 1376674010

Kathleen Kelly Carroll is a Psychiatric/Mental Health Nurse Practitioner based in Fayetteville, NC and is specialized in Psychiatric/Mental Health. Kathleen Kelly Carroll practices in Fayetteville, NC and has the professional credentials of MS,MA,APRN-BC. The NPI Number for Kathleen Kelly Carroll is 1376674010 and holds a License No. 6455 (North Carolina).

The current practice location address for Kathleen Kelly Carroll is 805 Westmont Dr, Fayetteville, NC and can be reached out via phone at 910-484-4061 and via fax at 910-485-4069.

Location: 805 Westmont Dr, Fayetteville, NC, 28305-4555
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Provider Profile Details
NPI Number
1376674010
Provider Name
Kathleen Kelly Carroll
Credential
MS,MA,APRN-BC
Provider Entity Type
Individual
Gender
Female
Address
805 Westmont Dr, Fayetteville, NC, 28305-4555
Phone Number
910-484-4061
Fax Number
910-485-4069
Provider Enumeration Date
03/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6113055 05 NC
institution
Provider Business Practice Location Address Details
Address
805 Westmont Dr
City
State
Zip
28305-4555
Phone Number
910-484-4061
Fax Number
910-485-4069
person
Provider Business Mailing Address Details
Address
805 Westmont Dr
City
State
Zip
28305-4555
Phone Number
910-484-4061
Fax Number
910-485-4069
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
200401185 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
6455 (North Carolina)
Definition
Definition to come...
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