Kelly Smith Kimple, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2012-01050 Issued in NC

Practice address

101 Manning Dr.
Chapel Hill, NC 27599

Phone

(919) 966-2504

Fax

(919) 966-3852

NPI assigned

May 29, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Kelly Marie Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406678400000",
    "number": "1508091919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 MACNIDER HALL",
            "address_2": "CAMPUS BOX 7225",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "27599",
            "telephone_number": "919-966-1072",
            "fax_number": "919-966-8419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MANNING DR.",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "27599",
            "telephone_number": "919-966-2504",
            "fax_number": "919-966-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMPLE",
        "first_name": "KELLY",
        "middle_name": "SMITH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-29",
        "last_updated": "2014-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2012-01050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "SMITH",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julie Allison Kimball, LCSW
• Mary Ann Barnes Kimball
• Susan Potts Kimberly, LCSW
• Dorothy Kimel-Scott, PT
• Adam Jordan Kimple, MD
• Caellaigh Naomi Kimpston, MD, PHD
• Kelsey Theresa Kines, MD, PHD
• Ashley Covert King, CPNP
• Bethany Grace King
• Booker Terry King, MD

• Pediatrics Physician in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.