Individual provider · Type 1 NPI
Leslie Kellam, DNP
Nurse Practitioner · Winston Salem, NC
Practice location
Medical Center Boulevard
Winston Salem, NC 27157-0001
Fax (336) 716-6622
Mailing address
100 Kimel Forest Dr
Winston Salem, NC 27103-6074
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 279599 (NC) |
| Nurse Practitioner Primary | 363L00000X | 5015063 (NC) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1699445056
Leslie Kellam, DNP's National Provider Identifier is 1699445056, issued on Sep 16, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Winston Salem, NC. The record was last updated on Jan 19, 2022.