Kelly Mandara

NPI 1811365018 · on the registry since 2015

Practice

Address: 4030 Wake Forest Rd
Suite 349
Raleigh, NC 27609
Phone: (336) 465-8804
Organisation at this address: Emopti Pn Pc
Kebi Care Llc
Ultracare Llc
Total Motion Pt
Apricott Nc Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 112

Registry record

Primary taxonomy: 222Q00000X
222Q00000X
Licence states on file: NC
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-09-04

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