Rich, Kelly Gardner

Rich, Kelly Gardner is an individual health care provider with primary practice located at 1000 Brabham Ave , Jacksonville NC 28546-1695. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Rich, Kelly Gardner can be contacted via phone (910) 341-3300.

Contact Information

Primary practice address
1000 Brabham Ave Jacksonville NC 28546-1695
Phone: (910) 341-3300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 047988 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME140393 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 202004545 North Carolina

Profile Details

NPI number 1043280241
LBN Legal business name Rich, Kelly Gardner
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Feb 1st, 2021 - about 5 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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