Individual provider · Type 1 NPI

Kathleen Kelly Carroll, M.S., M.A., APRN-BC

Psychiatric/Mental Health Nurse Practitioner · Fayetteville, NC

NPI number 1376674010 Active

Practice location

805 Westmont Dr
Fayetteville, NC 28305-4555

Fax (910) 485-4069

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X6455 (NC)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X200401185 (NC)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1376674010

Kathleen Kelly Carroll, M.S., M.A., APRN-BC's National Provider Identifier is 1376674010, issued on Mar 7, 2007. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fayetteville, NC. The record was last updated on May 22, 2008.