Individual
DR. JAMES REGINALD KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MBA
Contact information
Practice address
DUMC 3022, WALLACE CLINIC, DURHAM, NC 27710-0001
(919) 660-6746
(919) 681-4849
Mailing address
1301 FAYETTEVILLE ST, DURHAM, NC 27707-2325
(919) 956-4508
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20735
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8948207
—
NC
Enumeration date
06/22/2005
Last updated
06/11/2019
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