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William Ferris Kelly JR., MD
Specialist in Jacksonville, North Carolina
NPI 1881727212

William Ferris Kelly JR. is a Specialist based in Swansboro, NC. William Ferris Kelly JR. practices in Jacksonville, NC and has the professional credentials of MD. The NPI Number for William Ferris Kelly JR. is 1881727212 and holds a License No. 0034643 (North Carolina).

The current practice location address for William Ferris Kelly JR. is 317 Western Blvd, Jacksonville, NC and can be reached out via phone at 910-577-2345.

Location: 317 Western Blvd, Jacksonville, NC, 28584-9668
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881727212
Provider Name
William Ferris Kelly JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
317 Western Blvd, Jacksonville, NC, 28584-9668
Phone Number
910-577-2345
Fax Number
Provider Enumeration Date
03/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0760C 01 NC BLUE CROSS GROUP
6907604 05 NC
562014989001 01 NC TRICARE GROUP
8948216 05 NC
48216 01 NC BLUE SHIELD NC
institution
Provider Business Practice Location Address Details
Address
317 Western Blvd
City
Jacksonville
State
North Carolina
Zip
28546-6338
Phone Number
910-577-2345
Fax Number
person
Provider Business Mailing Address Details
Address
317 Western Blvd
City
Jacksonville
State
North Carolina
Zip
28546-6338
Phone Number
910-577-2345
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
0034643 (North Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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