Healthcare Provider Details

I. General information

NPI: 1285053082
Provider Name (Legal Business Name): KELLY ESPOSITO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2014
Last Update Date: 06/06/2025
Certification Date: 06/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2716 ASHTON DR
WILMINGTON NC
28412-2489
US

IV. Provider business mailing address

1 MEDICAL CENTER DR DHMC DEPARTMENT OF ORTHOPAEDIC SURGERY
LEBANON NH
03756-1000
US

V. Phone/Fax

Practice location:
  • Phone: 910-332-3800
  • Fax: 910-251-0421
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number2020-03063
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number2020-03063
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: