National Provider Identifier Database

DANIEL R KELLY, MD – NPI #1104115682
Pediatric Gastroenterology

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.


Contact Information

DANIEL R KELLY, MD
1001 BLYTHE BLVD
MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC28203-5866
Phone: 704-381-8840
Fax:
Website:
Specialty Taxonomy Code
* Pediatric Gastroenterology 2080P0206X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for DANIEL R KELLY

NPI Number 1104115682
Credentials MD
Entity Individual
Enumeration date 04/05/2011
Last updated 07/15/2024 - More than a year ago
Sole proprietor1 No
Identifiers
  • NC License #: 2018-00299
Hospital affiliation n/a

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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