Kelly, Danielle Rae

Kelly, Danielle Rae is an individual health care provider with primary practice located at 705 Summit Crossing Pl Ste 150 , Gastonia NC 28054-2137. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Kelly, Danielle Rae can be contacted via phone (704) 671-6300.

Contact Information

Primary practice address
705 Summit Crossing Pl Ste 150 Gastonia NC 28054-2137
Phone: (704) 671-6300
Fax: (704) 671-6307
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 27745 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 5005940 North Carolina

Profile Details

NPI number 1053655928
LBN Legal business name Kelly, Danielle Rae
Credentials PNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2012
Last updated Aug 17th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053655928 NPPES
North Carolina MEDICAID 1053655928

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