Dr. Michael Walker Kelly
Ophthalmologist
8851 Ellstree Ln Suite 200
Raleigh
, North Carolina 27617-2045
Dr. Michael Walker Kelly
Ophthalmologist
8851 Ellstree Ln Suite 200
Raleigh
, North Carolina 27617-2045
(919) 282-1119
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Dr. Michael Walker Kelly
- 8851 Ellstree Ln Suite 200
- Raleigh, NC
- Zip : 27617-2045
- Fax : (919) 282-1119
- Phone : (919) 282-1100
Second Address
- Dr. Michael Walker Kelly
- 8851 Ellstree Ln Suite 200
- Raleigh, NC
- Zip : 27617-2045
- Fax : (919) 282-1119
- Phone : (919) 282-1100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | 38107 | NC |
National Provider Identifier
| NPI | 1013956150 |
|---|---|
| Provider Name | Dr. Michael Walker Kelly |
| First Address | Raleigh, NC 27617-2045 |
| Second Address | Raleigh, NC 27617-2045 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/06/2006 |
| Last Update Date | 29/04/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 8911179 | (05) | NC |
| B61530 | (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.