Healthcare Provider Details

I. General information

NPI: 1528763356
Provider Name (Legal Business Name): CELESTINE CHEBET MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2023
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 LAKE BOONE TRL STE 107
RALEIGH NC
27607-7511
US

IV. Provider business mailing address

4201 LAKE BOONE TRL STE 107
RALEIGH NC
27607-7511
US

V. Phone/Fax

Practice location:
  • Phone: 919-709-7780
  • Fax: 800-990-0625
Mailing address:
  • Phone: 919-709-7780
  • Fax: 800-990-0625

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2026-01791
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: