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

Kelly Marie De Groot

Individual provider Family Nurse Practitioner · NPI 1538753983

Kelly Marie De Groot is a Family Nurse Practitioner in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2021.

Licensed in
NC
In the registry since
2021

Practice location Address checks out

901 E 4th St Ste D
Charlotte, NC 28204-2622
Phone: (866) 434-3255
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5015315 (NC)

Record details

NPI number1538753983
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 25, 2021
Last updated in NPPESMay 22, 2023
Certification dateMay 22, 2023

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