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Contact Information

MICHAEL J KENNELLY, MD
1225 HARDING PL
STE 3100
CHARLOTTE, NC28204-2826
 Phone: 704-355-8686
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
 

Urogynecology and Reconstructive Pelvic Surgery

2088F0040X
Indicates primary specialty

NPI Profile & details for MICHAEL J KENNELLY · (Male)

NPI # 1720021637
Status Active
Credentials MD
Entity Individual
Enumeration date 06/14/2006
Last updated 07/15/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NC License # 9500634
Hospital affiliation(s)
  • CAROLINAS MEDICAL CENTER-NORTHEAST - (Acute Care)
    920 CHURCH ST N
    CONCORD, NC 28025
  • CAROLINAS MEDICAL CENTER/BEHAV HEALTH - (Acute Care)
    1000 BLYTHE BLVD
    CHARLOTTE, NC 28203
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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