NPI 1023404704
Henry Albert Kelly Jr
Practice location
- Address
- 4124 Firwood Ln APT L, Charlotte, NC 28209-2724
- Phone
- (910) 747-5215
Authorised official
- Name
- Henry Albert Kelly
- Title
- Mhpa, PH.D
- Phone
- (910) 747-5215
Registered specialties
Health Maintenance Organization
Primary
Registry record
- NPI
- 1023404704
- Entity type
- Organization
- NPI issued
- 9 Apr 2015
- Record last updated
- 9 Apr 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.