MR. KELLY HENRY NNP NPI 1245724723

NPI Information

  • NPI: 1245724723
  • Provider Name: MR. KELLY HENRY, NNP
  • Classification: Nurse Practitioner - 363LN0005X
  • Specialization: Neonatal, Critical Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
    FORT LIBERTY, NC
    ZIP 28310
  • Phone: (910) 907-8922

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NPI Details

MR. Kelly Henry, NNP is a neonatal and critical care nurse practitioner in Fort Liberty, NC. MR. Kelly Henry, NNP NPI is 1245724723. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
FORT LIBERTY, NC
ZIP 28310-001
Phone: (910) 907-8922
Fax: (910) 907-6069

The NPI 1245724723 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/19/2018 and was last updated on 2/12/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WN0002XRegistered NurseNeonatal Intensive Care337243NORTH CAROLINANo
2363LN0005XNurse PractitionerNeonatal, Critical Care5014289NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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