DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KELSEY MOULTON FNP-C

MEDICARE: KELSEY MOULTON FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner5023873NC

General Provider Information

NPI Number : 1215892583
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSEY MOULTON FNP-C
Provider Business Mailing Address
First Line : 1000 BLYTHE BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28203-5812
Country : US
Telephone Number : 704-446-5185
Fax Number :
Provider Business Practice Location Address
First Line : 1000 BLYTHE BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28203-5812
Country : US
Telephone Number : 704-446-5185
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2025
Last Update Date : 03/12/2026

Similar Medicare Providers

1952257362 — DR. KELLEE T JAMES PHARMD
Practice Location Address:
1000 BLYTHE BLVD
CHARLOTTE, NC
28203-5812
Practice Phone: 843-324-8151
Practice Fax:
1558150631 — MEGAN REBECCA HEALEY PA-C
Practice Location Address:
1000 BLYTHE BLVD
CHARLOTTE, NC
28203-5812
Practice Phone: 704-355-2000
Practice Fax:
1194286922 — STEVE HUBERT MONK
Practice Location Address:
1000 BLYTHE BLVD
CHARLOTTE, NC
28203-5812
Practice Phone: 704-355-4823
Practice Fax:
1194689562 — AMINAH WALEED ZOABI
Practice Location Address:
1000 BLYTHE BLVD
CHARLOTTE, NC
28203-5812
Practice Phone: 704-446-5185
Practice Fax:
1588314827 — MADISON WATTS PARRISH MD
Practice Location Address:
1000 BLYTHE BLVD
CHARLOTTE, NC
28203-5812
Practice Phone: 704-355-3181
Practice Fax: 704-355-7047
1366963100 — ANEESH SHRIHARI DHORE MD
Practice Location Address:
1000 BLYTHE BLVD
CHARLOTTE, NC
28203-5812
Practice Phone: 704-355-2000
Practice Fax:

Directions to “ KELSEY MOULTON FNP-C” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.