Individual
DR. CHELITA KAYE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1801 ROZZELLES FERRY RD, PEDIATRIC DENTISTRY, CHARLOTTE, NC 28208-4228
(704) 350-7305
(704) 350-7304
Mailing address
1801 ROZZELLES FERRY RD, CHARLOTTE, NC 28208-4228
(704) 350-7305
(704) 350-7304
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
7311
NC
1223P0221X
Pediatric Dentistry
7311
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5905875
—
NC
Enumeration date
01/31/2007
Last updated
04/16/2013
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