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Contact Information

KELLY ADAMS
5505 CREEDMOOR RD
SUITE 100
RALEIGH, NC27612-6333
 Phone: 919-852-5352
 Fax: 919-852-5323
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for KELLY ADAMS · (Female)

NPI Number 1356371140
Status Active
Credentials
Entity Individual
Enumeration date 07/04/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 5062
  • NC Medicaid 6103124
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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