Individual
KAREN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 MOYE BLVD, GREENVILLE, NC 27834-4300
(252) 744-2803
(252) 744-3616
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2008-01993
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
151HV
BCBS NC
NC
05
—
5911595
—
NC
Enumeration date
01/06/2009
Last updated
02/16/2024
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