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1013175769
KELLI A. REARDON
CHARLOTTE, NC
NPI
1013175769
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085R0001X Radiology, Radiation Oncology
(Licence: NC 2015-01879)
Enumeration Date
2008-05-29
Last Update Date
2023-01-04
Business Address
KELLI A. REARDON M.D.
200 QUEENS RD
CHARLOTTE, NC 28204-3253
Phone number: 434-982-0777
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Mailing Address
KELLI A. REARDON M.D.
200 QUEENS RD STE 400
CHARLOTTE, NC 28204-3264
Phone number: 704-333-7376
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