KELLY STEVENS, PA
Physician Assistant
Active
Individual
NPI: 1104811959
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 0010-11495 (NC) |
| Physician Assistant - Medical | 363AM0700X | No | PA3513 (FL) |
Frequently Asked Questions
NPI 1104811959 is the National Provider Identifier for KELLY STEVENS, PA, a Physician Assistant provider located in Greensboro, NC. This NPI was enumerated on September 19, 2005.
KELLY STEVENS, PA practices at 2635 LAWNDALE DR, Greensboro, NC 27408.
Quick Facts
- NPI
- 1104811959
- Type
- Individual
- Enumerated
- Sep 19, 2005
- Last Updated
- Dec 10, 2024
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