Provider Demographics
NPI:1235374869
Name:KENDALL, KELLIE METCALF (MSN, NP-C)
Entity Type:Individual
Prefix:MRS
First Name:KELLIE
Middle Name:METCALF
Last Name:KENDALL
Suffix:
Gender:F
Credentials:MSN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 FAR HORIZONS LN
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-2046
Mailing Address - Country:US
Mailing Address - Phone:828-771-2219
Mailing Address - Fax:828-771-2634
Practice Address - Street 1:100 FAR HORIZONS LN
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2046
Practice Address - Country:US
Practice Address - Phone:828-771-2219
Practice Address - Fax:828-771-2634
Is Sole Proprietor?:No
Enumeration Date:2008-12-11
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5004230363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily