IndividualActive
Daniel Kelly, MD
NPI 1104115682 · Pediatric Gastroenterology Physician · Charlotte, NC
Provider details
- NPI number
- 1104115682
- Entity type
- Individual
- Primary specialty
- Pediatric Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2018-00299 (NC)
Practice location
1001 Blythe Blvd
Medical Center Plaza Suite 200
Charlotte, NC 28203-5866
Phone: (704) 381-8840
Mailing address
Po Box 19305
Charlotte, NC 28219-9305
Registry dates
- Enumerated
- 2011-04-05
- Last updated
- 2024-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.