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Individual

TRACY KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
205 SAGE RD, SUITE 100, CHAPEL HILL, NC 27514-6995
(919) 942-4173
(919) 933-3473
Mailing address
205 SAGE RD, SUITE 100, CHAPEL HILL, NC 27514-6995
(919) 942-4173
(919) 933-3473

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
300170
NC

Other

Enumeration date
12/19/2006
Last updated
09/27/2016
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