Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELSEY STOCUM
ActiveKELSEY STOCUM is a Community Health Worker healthcare provider located in CHARLOTTE, North Carolina. NPI 1407642317 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · CHARLOTTE, NC
Registration Details
- NPI Number
- 1407642317
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 17, 2025 (1.3717800210706 yrs)
- Last Updated
- Apr 17, 2025
- License
-
1413 (NC)
Practice Information
- Address
-
4651 CHARLOTTE PARK DR STE 100CHARLOTTE, NC, 282173037Browse NC providers · Browse ZIP 28217
- Phone
- 7044610006
- Fax
- 7044610006
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in CHARLOTTE, NC
| Name | Credential | NPI |
|---|---|---|
| AMY SUSAN CHOFFIN | M.S. OTR/L | 1316123813 |
| STEPHANIE ANN SHENNETT | — | 1295900850 |
| DONALD EUGENE CLARK | — | 1124282538 |
| OMER JAMA | — | 1376782151 |
| MS. SIMONE T. JONES | — | 1548400237 |
| MR. BILONGO MPUATI | — | 1972831246 |
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.