Individual
THOMAS ANDREW KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. FACC
Contact information
Practice address
3200 NORTHLINE AVE STE 250, GREENSBORO, NC 27408-7619
(336) 273-7900
(336) 275-0433
Mailing address
PO BOX 745040, ATLANTA, GA 30374-5040
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
27216
NC
207RI0011X
Interventional Cardiology Physician
27216
NC
207RS0012X
Sleep Medicine (Internal Medicine) Physician
27216
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11529
BCBS OF NC
NC
01
—
4099262
AETNA
—
05
—
8911529
—
NC
Enumeration date
09/15/2006
Last updated
12/16/2024
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