Individual
KELLI A. REARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 QUEENS RD, CHARLOTTE, NC 28204-3253
(434) 982-0777
(434) 982-0792
Mailing address
200 QUEENS RD STE 400, CHARLOTTE, NC 28204-3264
(704) 333-7376
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
2015-01879
NC
Other
Enumeration date
05/29/2008
Last updated
08/01/2025
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