Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 2019-00017 | NC |
N | 208000000X | Pediatrician | 47846 | CO |
N | 2080P0208X | Pediatric Infectious Diseases | 2019-00017 | NC |
N | 2080P0208X | Pediatric Infectious Diseases | 245913 | MA |
NPI | 1356497945 |
---|---|
Provider Name | Kelly Burke Flett |
First Address | Charlotte, NC 28260-0447 |
Second Address | Charlotte, NC 28211-2975 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2007 |
Last Update Date | 22/07/2021 |