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LISA M KELLEY N.P.
NPI 1669457420
Nurse Practitioner - Women's Health in Charlotte, NC

Active since December 14, 2005
2711 RANDOLPH RD, SUITE 100, CHARLOTTE, NC 28207(704) 342-9550(704) 377-0353 Get Directions Write a Review

NPPES record last updated: March 2, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa M Kelley N.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA M KELLEY N.P. (NPI 1669457420) is an individual women's health provider in Charlotte, North Carolina, licensed in North Carolina (0050-03621) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1669457420
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameLISA M KELLEYCredential: N.P.
Location Address2711 RANDOLPH RD, SUITE 100Charlotte, NC 28207-2034
Mailing Address2711 Randolph Rd, Suite 100Charlotte, NC 28207-2034 · (704) 342-9550 · Fax (704) 377-0353
Phone(704) 342-9550
Fax(704) 377-0353
Sole ProprietorNo
Enumeration DateDecember 14, 2005
Last NPPES UpdateMarch 2, 2011
✔ NPI 1669457420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
Licenses✔ Licensed in NC · 0050-03621✔ Licensed in VA · 0024165508
2711 RANDOLPH RD, Charlotte, NC 28207
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Other Identifiers 2

Medicare UPINP84088
Medicare ID-Type Unspecified000974H83

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL AXELSON M.D.
Internal Medicine (Medical Oncology)
2711 RANDOLPH RD, SUITE 100
CHARLOTTE, NC 28207
Mecklenburg County (704) 342-1900
JAMES WILLIAM SANDBERG M.D.
Pediatrics (Pediatric Gastroenterology)
2711 RANDOLPH RD, SUITE 301
CHARLOTTE, NC 28207
Mecklenburg County (704) 316-5060
MS. ROSEMARY DEMELLO PT
Physical Therapist
2711 RANDOLPH RD, 509
CHARLOTTE, NC 28207
Mecklenburg County (704) 256-4281
SCOTT MENAKER DDS & PATRICIA RODNEY, DDS, PLLC
Dentist
2711 RANDOLPH RD, SUITE 205
CHARLOTTE, NC 28207
Mecklenburg County (704) 377-2503
SEAN HENRIQUEZ MSP, CCC-SLP
Speech-Language Pathologist
2711 RANDOLPH RD, SUITE 509
CHARLOTTE, NC 28207
Mecklenburg County (704) 256-4281
DR. SAMUEL JACKSON BURROW IV DDS,DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
2711 RANDOLPH RD, SUITE 600
CHARLOTTE, NC 28207
Mecklenburg County (704) 334-7202
DR. JANICE STELLJES NAUMANN MD
Obstetrics & Gynecology
2711 RANDOLPH RD, SUITE 512
CHARLOTTE, NC 28207
Mecklenburg County (704) 333-4104
MECKLENBURG PULMONARY SPECIALISTS, PLLC
Specialist
2711 RANDOLPH RD, STE 208
CHARLOTTE, NC 28207
Mecklenburg County (704) 926-5433

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Kelley's NPI number?

The NPI number for Lisa Kelley is 1669457420. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Where is Lisa Kelley located?

Lisa Kelley practices at 2711 Randolph Rd Suite 100, Charlotte, NC 28207. The listed phone number is (704) 342-9550.

What is Lisa Kelley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Lisa Kelley was last updated on March 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.