Basic Information
| Provider Information | |||||||||
| NPI: | 1760736169 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PFLAUM | ||||||||
| FirstName: | KELLY | ||||||||
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| Credential: | NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8001 DEVELOPMENT DRIVE | ||||||||
| Address2: | |||||||||
| City: | MORRISVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 27560 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9192378900 | ||||||||
| FaxNumber: | 9194720601 | ||||||||
| Practice Location | |||||||||
| Address1: | 8001 DEVELOPMENT DR | ||||||||
| Address2: | |||||||||
| City: | MORRISVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275607416 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9192378900 | ||||||||
| FaxNumber: | 9194720601 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/07/2012 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 5005912 | NC | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.