Kelly Barnes Laham, ANP-BC
Individual provider Active NPI Nurse Practitioner · Bolton, NC
NPI 1295970358 · NPPES record last updated Aug 24, 2009
Key facts
- NPI
- 1295970358
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 5004173 (NC)
- Practice address
- 213 9TH Street
Bolton, NC 28423 - Phone
- (910) 655-8300
- Fax
- (910) 655-8848
- NPI assigned
- Dec 3, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20090302 | NC | MD | Nurse Practitioner |
| 5004173 | NC | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5004173 | NC | Yes |
| Nurse Practitioner | 363L00000X | 20090302 | NC |
Addresses
Primary practice location
213 9TH Street
Bolton, NC 28423
Mailing address
213 9TH Street
Bolton, NC 28423
Phone (910) 655-8300
Other providers in Bolton, NC
- Buckhead Volunteer Fire Department and Rescue Squad Inc
- Coastal Billing and Home Care Services, LLC
- D&a Family Care Home LLC
- Elite Care of NC, LLC
- Goshen Medical Center Incorporated
- Kimberly Anne Major
- Kathy Lynn McKenzie
- Lauren McPherson
- Velma G Patrick
- Ronnette Smith
All providers in Bolton, NC · Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.