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Contact Information

KELLI B MAYFIELD, MD
101 CABARRUS AVE E
CONCORD, NC28025-3699
 Phone: 980-960-2563
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KELLI B MAYFIELD · (Female)

NPI # 1598743114
Status Active
Credentials MD
Entity Individual
Enumeration date 01/04/2006
Last updated 10/06/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • ME License # 018447
  • ME License # TD091103
  • NC License # 9500998
  • NY License # 309109-01
  • VA License # 010127185
  • ME Medicaid 434817599
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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