Kellie Duvall Souther
Nurse Practitioner - Family | 7+ years Exp
1188 Yadkinville Rd, Mocksville
North Carolina, 27028-2037
336-716-7435
Kellie Duvall Souther is a Mocksville, North Carolina based nurse practitioner with 7 years of experience in Family. She completed her graduation in 2018. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kellie Duvall Souther is 5011023 in North Carolina. Her current practice location is 1188 Yadkinville Rd, Mocksville. Patients can reach her at 336-716-7435 or can fax her at 336-702-9277 with specialization in Family and her NPI number (Unique professional ID assigned by NPPES) is 1558846527.
Kellie Duvall Souther delivers family-focused care which means she provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Kellie Duvall Souther speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Kellie Duvall Souther |
| Specialization: | Family Nurse Practitioner (FNP) |
| Gender: | Female |
| Experience: | 7+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2018 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1188 Yadkinville Rd, Mocksville,
North Carolina, 27028-2037 |
| Phone: | 336-716-7435 |
| Fax: | 336-702-9277 |
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: | 6709121205 |
| Enrollment ID: | I20190102000876 |
| NPI Number: | 1558846527 |
| NPI Enumeration Date: | 26 Sep, 2018 |
| NPI Last Update On: | 05 Dec, 2023 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kellie Duvall Souther are as mentioned below.
| License Number | Specialization | State | Status | |
| 5011023 | | North Carolina | Primary | |
| 5011023 | Family | North Carolina | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Kellie Duvall Souther is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Burke Primary Care Llc (1759339948) | 21 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kellie Duvall Souther
100 Kimel Forest Dr,
Winston Salem, North Carolina |
| Zip: | 27103-6074 |
| Phone Number: | 336-713-0947 |
Patients can reach Kellie Duvall Souther at
1188 Yadkinville Rd, Mocksville, North Carolina or can
call to book an appointment on 336-716-7435.
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.