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

Individual provider Pediatrics Physician · NPI 1508828054

Dr. Kerrith Lyn Jaeckel, MD is a Pediatrics Physician in Charlotte, 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?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

14215 Ballantyne Corporate Pl Ste 130
Charlotte, NC 28277-3671
Phone: (704) 384-1950
Fax: (704) 384-1955
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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 9700294 (NC)

Record details

NPI number1508828054
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2006
Last updated in NPPESMarch 7, 2023
Certification dateMarch 7, 2023

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