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Individual

JOHN J KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2298 US 70 HWY UNIT A, SWANNANOA, NC 28778-8209
(828) 686-5232
(828) 686-7269
Mailing address
2298 US 70 HWY UNIT A, SWANNANOA, NC 28778-8209
(828) 686-5232
(828) 686-7269

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24779
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0170087
UNITED HEALTH CARE
NC
01
152692
MID SOUTH
NC
01
210331
CIGNA
NC
01
48212
BCBS PROVIDER NUMBER
NC
05
8948212
NC
Enumeration date
04/24/2007
Last updated
04/21/2026
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