Individual
KELLY REYNA RADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2202 CAROLINA PL, STE 100, KINGS MOUNTAIN, NC 28086-8807
(980) 487-2290
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2018-00301
NC
Other
Enumeration date
06/25/2015
Last updated
07/15/2024
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