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: KATELYN VICTORIA KELLY LCSWA

MEDICARE: KATELYN VICTORIA KELLY LCSWA
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
11041C0700XClinical Social WorkerP022564NC

General Provider Information

NPI Number : 1760364202
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATELYN VICTORIA KELLY LCSWA
Provider Business Mailing Address
First Line : 6304 CAMISE LN
Second Line :
City : CARY
State : NC
Zip : 27518-9314
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3801 BARRETT DR
Second Line :
City : RALEIGH
State : NC
Zip : 27609-7224
Country : US
Telephone Number : 919-870-8409
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2025
Last Update Date : 07/24/2025

Similar Medicare Providers

1205134731 — MONA R GUPTA, DO INCORPORATED
Practice Location Address:
3801 BARRETT DR
RALEIGH, NC
27609-7224
Practice Phone: 919-870-8409
Practice Fax: 877-622-8953
1235475039 — CYNTHIA GAIL FREDERICK CRNP
Practice Location Address:
3801 BARRETT DR
RALEIGH, NC
27609-7224
Practice Phone: 919-870-8409
Practice Fax: 877-622-8953
1033625991 — MR. DUSTIN WILLIAMS ARNP FNP
Practice Location Address:
3801 BARRETT DR
RALEIGH, NC
27609-7224
Practice Phone: 919-870-8409
Practice Fax: 877-622-8953
1710744412 — MARIE E MINANI MPHNP-BC
Practice Location Address:
3801 BARRETT DR
RALEIGH, NC
27609-7224
Practice Phone: 919-870-8409
Practice Fax: 877-622-8953
1669210589 — KYLIE NESTA HOOVER PMHNP
Practice Location Address:
3801 BARRETT DR
RALEIGH, NC
27609-7224
Practice Phone: 919-870-8409
Practice Fax: 877-622-8953
1982087706 — BROOKE KRZOS LCMHC
Practice Location Address:
7224 JANSTON DR
RALEIGH, NC
27613-1082
Practice Phone: 919-753-1080
Practice Fax:

Directions to “ KATELYN VICTORIA KELLY LCSWA” 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 © 2007-2025 (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.