Kellie Duvall Souther
NPI #1558846527 in Mocksville, North Carolina
Provider Information
- NPI Number
- 1558846527
- Entity Type
- Individual
- Name
- Kellie Duvall Souther
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Sep 26, 2018
- Last Updated
- Dec 5, 2023
Practice Location
- Address
- 1188 YADKINVILLE RD
- City
- Mocksville
- State
- North Carolina
- ZIP Code
- 27028-2037
- Phone
- (336) 716-7435
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Nurse Practitioner |
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