Individual
JAMES STEPHEN KELLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
187 MEDICAL PARK DR, BREVARD, NC 28712-4189
(828) 884-9362
(828) 884-3851
Mailing address
1909 214TH ST SE STE 300, BOTHELL, WA 98021-4418
(425) 412-7200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2007-01074
NC
207R00000X
Internal Medicine Physician
Primary
MD61069919
WA
207RP1001X
Pulmonary Disease Physician
2007-01074
NC
207RS0012X
Sleep Medicine (Internal Medicine) Physician
2007-01074
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477W
BCBS OF NC
NC
01
—
P020681
GATEWAY HEALTH PLAN
NC
Enumeration date
07/15/2005
Last updated
06/03/2022
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