Individual
DR. KELLY W PHILPOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1204 E FIRE TOWER RD, GREENVILLE, NC 27858-4196
(252) 744-1122
(252) 744-1133
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9801443
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126FG
BCBS NC
NC
01
—
80162449
RAILROAD MEDICARE
NC
05
—
89126FG
—
NC
Enumeration date
09/16/2005
Last updated
03/12/2024
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