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Kell Medical Pa
Primary Care Clinic/Center in Jacksonville, North Carolina
NPI 1508027046

Kell Medical Pa is a Primary Care Clinic/Center based in Jacksonville, NC and is specialized in Primary Care. Kell Medical Pa practices in Jacksonville, NC. The NPI Number for Kell Medical Pa is 1508027046 and holds a License No. (North Carolina).

The current practice location address for Kell Medical Pa is 200 Doctors Dr Ste F, Jacksonville, NC and can be reached out via phone at 910-353-1499 and via fax at 910-355-0404.

Location: 200 Doctors Dr Ste F, Jacksonville, NC, 28546-6308
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508027046
Provider Name
Kell Medical Pa
Credential
Provider Entity Type
Organization
Address
200 Doctors Dr Ste F, Jacksonville, NC, 28546-6308
Phone Number
910-353-1499
Fax Number
910-355-0404
Provider Enumeration Date
06/18/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
48308 01 NC BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
200 Doctors Dr Ste F
City
Jacksonville
State
North Carolina
Zip
28546-6308
Phone Number
910-353-1499
Fax Number
910-355-0404
person
Provider Business Mailing Address Details
Address
200 Doctors Dr Ste F
City
Jacksonville
State
North Carolina
Zip
28546-6308
Phone Number
910-353-1499
Fax Number
910-355-0404
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
9600132 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
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