Individual
DR. JOHN SIMPSON KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 231-6132
Mailing address
2920 HIGHWOODS BLVD, RALEIGH, NC 27604-0010
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
19358
NC
207RI0011X
Interventional Cardiology Physician
Primary
19358
NC
Other
Enumeration date
07/20/2005
Last updated
03/02/2021
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