| Doctor Name: | KELLEY J. MATHEWS |
| NPI Number: | 1043474265 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 169519 |
| Business Practice Address: | 2818 Neuse Blvd New Bern, NC - 285622850 |
| Business Phone Number: | 2526364964 |
| Business Fax Number: | 2526364970 |
| Mailing Address: | Po Box 12610, 2818 Neuse Blvd. NEW BERN |
| State: | NC |
| Postal Code: | 285612610 |
| Phone Number: | 2526364964 |
| Fax Number: | 2526364970 |
| NPI Enumeration Date: | 07/16/2008 |
| NPI Last Update Date: | 08/23/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 169519 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |