Michael Greg Kelly, MD
Obstetrics & Gynecology, Gynecologic Oncology in Winston Salem, NC. Individual provider (NPI-1).
NPI number1477541399
StatusActive
Last updated in NPPESJun 17, 2014
Details
- NPI
- 1477541399
- Entity type
- Individual (NPI-1)
- Name
- Michael Greg Kelly
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 13, 2005
- Last updated
- Jun 17, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VX0201X | Obstetrics & Gynecology, Gynecologic Oncology | 2012-01171 | NC | Yes |
| 207V00000X | Obstetrics & Gynecology | 2012-01171 | NC |
Practice location
Medical Center BlvdWinston Salem, NC 27157-0001
Phone 336-716-6673
Mailing address
Po Box 602658Charlotte, NC 28260-2658
Phone 336-716-2011
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