Kathleen Kelly Carroll
M.S., M.A., APRN-BC | Nurse Practitioner | 19+ years Exp
805 Westmont Dr, Fayetteville
North Carolina, 28305-4555
910-484-4061
Kathleen Kelly Carroll is a Fayetteville, North Carolina based nurse practitioner with 19 years of experience in Nurse Practitioner. She completed her graduation from University Of South Alabama College Of Medicine in 2006. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kathleen Kelly Carroll is 200401185 for Psych/Mental Health in North Carolina. Her current practice location is 805 Westmont Dr, Fayetteville. Patients can reach her at 910-484-4061 or can fax her at 910-485-4069. Kathleen Kelly Carroll is M.S., M.A., APRN-BC with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1376674010.
Kathleen Kelly Carroll has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Kathleen Kelly Carroll speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Kathleen Kelly Carroll |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | M.S., M.A., APRN-BC |
| Experience: | 19+ years |
| Medical School Attended: | University Of South Alabama College Of Medicine |
| Graduation Year: | 2006 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 805 Westmont Dr, Fayetteville,
North Carolina, 28305-4555 |
| Phone: | 910-484-4061 |
| Fax: | 910-485-4069 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 2163591967 |
| Enrollment ID: | I20160126000261 |
| NPI Number: | 1376674010 |
| NPI Enumeration Date: | 07 Mar, 2007 |
| NPI Last Update On: | 22 May, 2008 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kathleen Kelly Carroll are as mentioned below.
| License Number | Specialization | State | Status | |
| 200401185 | Psych/Mental Health | North Carolina | Primary | |
| 6455 | Counselor | North Carolina | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Kathleen Kelly Carroll such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 6113055 | Medicaid | North Carolina | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kathleen Kelly Carroll
805 Westmont Dr,
Fayetteville, North Carolina |
| Zip: | 28305-4555 |
| Phone Number: | 910-484-4061 |
| Fax Number: | 910-485-4069 |
Patients can reach Kathleen Kelly Carroll at
805 Westmont Dr, Fayetteville, North Carolina or can
call to book an appointment on 910-484-4061.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.