Individual
MICHAEL J. KENNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1225 HARDING PL, STE 3100, CHARLOTTE, NC 28204-2826
(704) 355-8686
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
9500634
NC
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
9500634
NC
Other
Enumeration date
06/14/2006
Last updated
07/15/2024
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