Provider Demographics
NPI:1376358150
Name:POOLE, KELSEY SAIN (CNS)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:SAIN
Last Name:POOLE
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:KELSEY
Other - Middle Name:ELIZABETH
Other - Last Name:SAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNS
Mailing Address - Street 1:6602 PERRY CREEK RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-6691
Mailing Address - Country:US
Mailing Address - Phone:919-816-5681
Mailing Address - Fax:
Practice Address - Street 1:3000 NEW BERN AVE OFC 2E142
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-1295
Practice Address - Country:US
Practice Address - Phone:919-350-5490
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC595364SC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SC0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistCritical Care Medicine