Individual
DR. ERIN LYNNE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.S.
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 744-1600
(252) 744-1115
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
S4006
TX
207RP1001X
Pulmonary Disease Physician
Primary
2024-02508
NC
208M00000X
Hospitalist Physician
LT-4122
NH
208M00000X
Hospitalist Physician
S4006
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406417201
—
TX
01
—
406417202
CHSCN
TX
Enumeration date
05/26/2016
Last updated
11/26/2024
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