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Kelly Marie Clifford, M.D.

Internal Medicine in Charlotte, NC. Individual provider (NPI-1).

NPI number1487948220
StatusActive
Last updated in NPPESDec 20, 2017

Details

NPI
1487948220
Entity type
Individual (NPI-1)
Name
Kelly Marie Clifford
Credential
M.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 8, 2011
Last updated
Dec 20, 2017

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - DIAGNOSTIC RADIOLOGY
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineTRN16431FLYes

Practice location

700 E Morehead St Ste 300
Charlotte, NC 28202-2742

Phone 704-334-7800 · Fax 704-414-7512

Mailing address

700 E Morehead St Ste 300
Charlotte, NC 28202-2742

Phone 704-334-7800 · Fax 704-414-7512

Other practice locations

1600 Sw Archer Rd
Gainesville, FL 32610-0277

Phone 352-265-0239 · Fax 352-265-1107

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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