Dr. Khadijah Kelly is a Rock Hill, South Carolina based Dentist who is specialized in General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Khadijah Kelly is 10961 for General Practice Dentistry in South Carolina. Her current practice location is 455 Lakeshore Parkway, Rock Hill. Patients can reach her at 803-909-6363.
Dr. Khadijah Kelly is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Khadijah Kelly speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Khadijah Kelly
Specialization:
Dentist
Gender:
Female
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
455 Lakeshore Parkway, Rock Hill, South Carolina, 29730-4205
Phone:
803-909-6363
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1730868902
NPI Enumeration Date:
14 Jul, 2023
NPI Last Update On:
31 Mar, 2025
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Khadijah Kelly are as mentioned below.
License Number
Specialization
State
Status
10961
General Practice Dentistry
South Carolina
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Khadijah Kelly such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
ZX0962
Medicaid
South Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2043 Morton St, Charlotte, North Carolina
Zip:
28208-5564
Phone Number:
678-913-8276
Patients can reach Dr. Khadijah Kelly at 455 Lakeshore Parkway, Rock Hill, South Carolina or can call to book an appointment on 803-909-6363. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.