Individual
DANIEL L KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5717 ALBEMARLE RD, CHARLOTTE, NC 28212-1634
(704) 563-2150
(704) 563-2153
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-1775
(704) 384-1776
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
37870
NC
207Q00000X
Family Medicine Physician
Primary
37870
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8912946
—
NC
Enumeration date
10/18/2006
Last updated
06/10/2024
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