Souther, Kellie Duvall

Souther, Kellie Duvall is an individual health care provider with primary practice located at 1188 Yadkinville Rd , Mocksville NC 27028-2037. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Souther, Kellie Duvall can be contacted via phone (336) 716-7435.

Contact Information

Primary practice address
1188 Yadkinville Rd Mocksville NC 27028-2037
Phone: (336) 716-7435
Fax: (336) 702-9277
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5011023 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5011023 North Carolina

Profile Details

NPI number 1558846527
LBN Legal business name Souther, Kellie Duvall
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2018
Last updated Dec 5th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers