Individual
THOMAS HAROLD KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5220 GREENS DAIRY RD, RALEIGH, NC 27616-4612
(919) 781-1437
Mailing address
5220 GREENS DAIRY RD, RALEIGH, NC 27616-4612
(919) 781-1437
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101281313
VA
2085R0202X
Diagnostic Radiology Physician
Primary
2024-00823
NC
2085R0202X
Diagnostic Radiology Physician
52709
SC
Other
Enumeration date
06/20/2018
Last updated
07/01/2024
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