Individual
DANIEL RORY KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200, CHARLOTTE, NC 28203-5866
(704) 381-8840
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2018-00299
NC
2080P0206X
Pediatric Gastroenterology Physician
Primary
2018-00299
NC
Other
Enumeration date
04/05/2011
Last updated
07/15/2024
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