Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARION RANDY KELLY JR., MSN, APRN, FNP-BC
Active Sole ProprietorMR. MARION RANDY KELLY JR., MSN, APRN, FNP-BC is a Family Nurse Practitioner healthcare provider located in CHARLOTTE, North Carolina. NPI 1134992985 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · CHARLOTTE, NC
Registration Details
- NPI Number
- 1134992985
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 2, 2023 (2.7550252302756 yrs)
- Last Updated
- Dec 17, 2025
- License
-
2023064441 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10344 PARK RD STE 300CHARLOTTE, NC, 282108505Browse NC providers · Browse ZIP 28210
- Phone
- 7042286994
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in CHARLOTTE, NC
| Name | Credential | NPI |
|---|---|---|
| EVA MAE STASSEN | FNP | 1265438089 |
| JULIE TRUST SMITH | FNP | 1679572275 |
| MARLAR ANNE VOLLBRECHT | FNP | 1104828516 |
| MRS. HEATHER JOHNS PERKINS | FNP-C | 1689660581 |
| SUSAN M BROWN | MSN, RN, FNP-BC | 1134117104 |
| JANA MICHELLE BROOKS | FNP-C | 1982695920 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.