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

Kelsey Stocum

Individual provider Community Health Worker · NPI 1407642317

Kelsey Stocum is a Community Health Worker in Charlotte, North Carolina. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2025

Practice location Address checks out

4651 Charlotte Park Dr Ste 100
Charlotte, NC 28217-3037
Phone: (704) 461-0006
Fax: (704) 461-0006
Show map & directions

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

Additional practice locations (1)

  • 6010 E W T Harris Blvd, Charlotte, NC 28215-4084 — (704) 208-4134

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X · Licence 1413 (NC)

Record details

NPI number1407642317
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 17, 2025
Last updated in NPPESApril 17, 2025
Certification dateApril 16, 2025

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