Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Fayetteville Children's Clinic, PA

Organization Pediatrics Physician · NPI 1730270448

Fayetteville Children's Clinic, PA provides Pediatrics Physician services in Fayetteville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1606 Morganton Rd
Fayetteville, NC 28305-4738 Not confirmed with CMS for 13 years — call before visiting
Phone: (910) 484-3121
Fax: (910) 484-9027
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 39028 (NC)

Record details

NPI number1730270448
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Kelly — President · (910) 484-3121
NPI enumeratedSeptember 27, 2006
Last updated in NPPESJuly 10, 2013
Mailing addressPo Box 53127, Fayetteville, NC 28305-3127

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