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Individual

DR. PATRICK JAMES KELTY

Active
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Individual

DR. PATRICK JAMES KELTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2009-00787
NC
207WX0107X
Retina Specialist (Ophthalmology) Physician
2009-00787
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11980296
CAQH
05
1407932304
NC
01
154J4
BCBS
NC
01
1853484
WELLCARE
NC
05
5911876
NC
01
9179378
ENVOLVE
NC
01
A03453
EYEMED
NC
Enumeration date
10/31/2006
Last updated
12/31/2025
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