Individual
DR. KELLY NEAL MINSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3521 HAWORTH DR, RALEIGH, NC 27609-7244
(919) 782-1806
(919) 782-4756
Mailing address
PO BOX 18563, RALEIGH, NC 27619-8563
(919) 782-1806
(919) 782-4756
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2011-01728
NC
207R00000X
Internal Medicine Physician
ME105227
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001866100
—
FL
01
—
P00759769
RAILROAD MEDICARE PROVIDER NUMBER
FL
Enumeration date
08/07/2008
Last updated
03/27/2012
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