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

Kelly Bossenbroek Fedoriw, MD

Individual provider Family Medicine Physician · NPI 1285674606

Kelly Bossenbroek Fedoriw, MD is a Family Practice in Chapel Hill, North Carolina. Graduated from Medical College of Ohio in 2003, 23 years ago. Practices with University of North Carolina at Chapel Hill, a 2,079-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
23
Trained at
Medical College of Ohio
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

590 Manning Dr
Chapel Hill, NC 27599-6119
Phone: (919) 966-0210
Fax: (919) 966-2126
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2008-01856 (NC)

Record details

NPI number1285674606
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 7, 2006
Last updated in NPPESMarch 31, 2021
Certification dateMarch 31, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolMEDICAL COLLEGE OF OHIO
Graduated 2003 (23 years in practice)
Group practice University Of North Carolina At Chapel Hill — 2079 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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