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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043154818

Kelly Elizabeth Boutelle Gordon is a Student in an Organized Health Care Education/Training Program in Chapel Hill, North Carolina. Licensed in North Carolina. Registered with an NPI since 2026.

Licensed in
NC
In the registry since
2026
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Chapel Hill, NC
Fax: (919) 966-5136

No coordinates on file. Search this address in Google Maps

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (NC)

Record details

NPI number1043154818
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 14, 2026
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026

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