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Contact Information

KELLI A REARDON, MD
200 QUEENS RD
CHARLOTTE, NC28204-3253
 Phone: 434-982-0777
 Fax: 434-982-0792
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for KELLI A REARDON · (Female)

NPI # 1013175769
Status Active
Credentials MD
Entity Individual
Enumeration date 05/29/2008
Last updated 08/01/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • NC License # 2015-01879
Hospital affiliation(s)
  • FORSYTH MEMORIAL HOSPITAL - (Acute Care)
    3333 SILAS CREEK PARKWAY
    WINSTON-SALEM, NC 27103
  • THOMASVILLE MEDICAL CENTER - (Acute Care)
    207 OLD LEXINGTON RD BOX 789
    THOMASVILLE, NC 27360
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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