Individual
KELSEY STOCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4651 CHARLOTTE PARK DR STE 100, CHARLOTTE, NC 28217-3037
(704) 461-0006
(704) 461-0006
Mailing address
PO BOX 44308, CHARLOTTE, NC 28215-0047
(704) 372-9393
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
1413
NC
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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