Provider Demographics
NPI:1609129667
Name:STOIA, KELLY BYRNE (FNP)
Entity Type:Individual
Prefix:
First Name:KELLY
Middle Name:BYRNE
Last Name:STOIA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:KELLY
Other - Middle Name:MARIE
Other - Last Name:BYRNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:511 SMOKEY PARK HWY SUITE A2
Mailing Address - Street 2:
Mailing Address - City:CANDLER
Mailing Address - State:NC
Mailing Address - Zip Code:28715
Mailing Address - Country:US
Mailing Address - Phone:828-365-1088
Mailing Address - Fax:828-667-0382
Practice Address - Street 1:511 SMOKEY PARK HWY SUITE A2
Practice Address - Street 2:
Practice Address - City:CANDLER
Practice Address - State:NC
Practice Address - Zip Code:28715
Practice Address - Country:US
Practice Address - Phone:828-365-1088
Practice Address - Fax:828-667-0382
Is Sole Proprietor?:No
Enumeration Date:2012-10-16
Last Update Date:2018-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC221370363LF0000X
NC5005906363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily