Search › North Carolina › 363L00000X
Pornpilai Keck, NURSE PRACTITIONER
NPI 1558738922 · on the registry since 2015 · sole proprietor
Practice
- Address
- 108 Providence Rd
Charlotte, NC 28207 - Phone
- (336) 481-8655
- Organisation at this address
- Novant Medical Group, Inc
Novant Health Medical Group, Llc
Novant Health Medical Group, Llc
Novant Health Employer Solutions, Llc
Novant Health Employer Solutions, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Additional practice sites
- 1450 Matthews Township Pkwy Ste 350, Matthews, NC
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LA2200X
- Licence states on file
- NC, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina