Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Detta Connelly, PHLEBOTOMIST

Individual provider Phlebology Physician · NPI 1700654407

Detta Connelly, PHLEBOTOMIST is a Phlebology Physician in Gastonia, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2023

Practice location Address checks out

2348 Kinmere Dr
Gastonia, NC 28056-7812
Phone: (704) 674-4935
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Phlebology Physician (primary) Taxonomy 202K00000X · Licence 4-6287 (NC)

Record details

NPI number1700654407
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHLEBOTOMIST
Sole proprietorYes
NPI enumeratedDecember 13, 2023
Last updated in NPPESDecember 13, 2023
Certification dateDecember 13, 2023