IndividualActive
Khadijah Kelly, DDS
NPI 1730868902 · General Practice Dentistry · Rock Hill, SC
Khadijah Kelly, DDS is a General Practice Dentistry provider in Rock Hill, SC (NPI 1730868902).
Provider details
- NPI number
- 1730868902
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 10961 (SC)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
455 Lakeshore Parkway
Rock Hill, SC 29730-4205
Phone: (803) 909-6363
Street-level locationGet directions
Mailing address
2043 Morton St
Charlotte, NC 28208-5564
Registry dates
- Enumerated
- 2023-07-14
- Last updated
- 2025-03-31
- Certified
- 2023-05-01
Frequently asked questions
- What is Khadijah Kelly's NPI number?
- Khadijah Kelly's National Provider Identifier (NPI) is 1730868902, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Khadijah Kelly's specialty?
- Khadijah Kelly is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Khadijah Kelly located?
- Khadijah Kelly's practice location on file with NPPES is 455 Lakeshore Parkway, Rock Hill, SC 29730-4205.
- What is Khadijah Kelly's phone number?
- The practice phone number listed in the NPPES registry for Khadijah Kelly is (803) 909-6363.
- Is Khadijah Kelly's NPI active?
- Yes — Khadijah Kelly's NPI (1730868902) is active in the NPPES registry as of the last update on 2025-03-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.