Individual
TINA MARIE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
433 COPPERFIELD BLVD NE, CONCORD, NC 28025-2405
(704) 786-7770
(704) 971-0035
Mailing address
1300 BAXTER ST, STE 215, CHARLOTTE, NC 28204-3053
(704) 332-0396
(704) 971-0035
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
17538
SC
363L00000X
Nurse Practitioner
Primary
5005521
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7006561
—
NC
Enumeration date
06/21/2011
Last updated
12/04/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us