Dr. Johnson H Kelly
Urologist Family Doctor
201 E Grover St
Shelby
, North Carolina 28150-3917
Dr. Johnson H Kelly
Urologist Family Doctor
201 E Grover St
Shelby
, North Carolina 28150-3917
(828) 891-4069
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About
Features
Specialties
- Family Doctor
- Urologist
Languages spoken
- English
Location
First Address
- Dr. Johnson H Kelly
- Po Box 1689
- Etowah, NC
- Zip : 28729-1689
- Fax : (828) 891-4069
- Phone : (828) 891-5524
Second Address
- Dr. Johnson H Kelly
- 201 E Grover St
- Shelby, NC
- Zip : 28150-3917
- Fax : (980) 487-3942
- Phone : (980) 487-4721
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 23578 | NC |
| Y | 208800000X | Urologist | 23578 | NC |
National Provider Identifier
| NPI | 1043223480 |
|---|---|
| Provider Name | Dr. Johnson H Kelly |
| First Address | Etowah, NC 28729-1689 |
| Second Address | Shelby, NC 28150-3917 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/08/2006 |
| Last Update Date | 10/02/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 230126 | MEDICARE PTAN (01) | NC |
| 23578 | NC MEDICAL LICENSE # (01) | NC |
| 48217 | BCBS ID (01) | NC |
| 8948217 | (05) | NC |
| C84880 | (02) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.