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NPI Code Detail

MEDICARE: KELLI PITT M.D.

MEDICARE: KELLI PITT M.D.
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
1207R00000XInternal Medicine Physician070407GA
2207R00000XInternal Medicine Physician2018-02294NC

General Provider Information

NPI Number : 1477878759
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLI PITT M.D.
Provider Business Mailing Address
First Line : 2000 PERIMETER PARK DR STE 200
Second Line :
City : MORRISVILLE
State : NC
Zip : 27560-8442
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11200 GOVERNOR MANLY WAY STE 205
Second Line :
City : RALEIGH
State : NC
Zip : 27614-7367
Country : US
Telephone Number : 919-570-7700
Fax Number : 919-570-7701
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2010
Last Update Date : 08/09/2021

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Directions to “ KELLI PITT M.D.” Practice Location

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