Provider Demographics
NPI:1821065426
Name:SINGER, KELLEY B (MD)
Entity Type:Individual
Prefix:
First Name:KELLEY
Middle Name:B
Last Name:SINGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1869
Mailing Address - Street 2:
Mailing Address - City:FLETCHER
Mailing Address - State:NC
Mailing Address - Zip Code:28732-1869
Mailing Address - Country:US
Mailing Address - Phone:828-687-5616
Mailing Address - Fax:828-650-8076
Practice Address - Street 1:1881 PISGAH DR
Practice Address - Street 2:BLDG A
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791-3760
Practice Address - Country:US
Practice Address - Phone:828-697-4336
Practice Address - Fax:828-694-6757
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2017-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201101696208M00000X, 207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCP01094646OtherMEDICARE RR
NC172CUOtherBCBS OF NC
OKG78542Medicare UPIN
NCNC4380AMedicare PIN
NCNC4380BMedicare PIN