KELL MEDICAL PA NPI 1508027046

NPI Information

NPI: 1508027046
Provider Name: KELL MEDICAL PA
Classification: General Practice - 208D00000X
Entity Type: Organization
Address: 200 DOCTORS DR STE F
JACKSONVILLE, NC
ZIP 28546
Phone: (910) 353-1499

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NPI Details

KELL MEDICAL PA is a general practice in Jacksonville, NC. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee KELL MEDICAL PA NPI is 1508027046. The provider is registered as an organization entity type.

The provider's business location address is:

200 DOCTORS DR STE F
JACKSONVILLE, NC
ZIP 28546-308
Phone: (910) 353-1499
Fax: (910) 355-0404

The provider's authorized official is Robert E Kell .
The authorized official title is Primary Doctor and has the following contact phone number (910) 353-1499.

The enumeration date for this NPI number is 6/18/2008 and was last updated on 11/17/2022.

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
1	261QP2300X	Clinic/Center	Primary Care	9600132	NORTH CAROLINA	No
2	208D00000X	General Practice				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	48308	OTHER	NORTH CAROLINA	BLUE CROSS BLUE SHIELD

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: 11/21/2025

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