KELLY BENNETT, PA
Physician Assistant
Active
Individual
NPI: 1982634762
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | No | 0110002137 (VA) |
| Physician Assistant | 363A00000X | Yes | 0010-02297 (NC) |
Frequently Asked Questions
NPI 1982634762 is the National Provider Identifier for KELLY BENNETT, PA, a Physician Assistant provider located in Statesville, NC. This NPI was enumerated on July 4, 2006.
KELLY BENNETT, PA practices at 700 SULLIVAN RD, Statesville, NC 28677.
Quick Facts
- NPI
- 1982634762
- Type
- Individual
- Enumerated
- Jul 4, 2006
- Last Updated
- Aug 20, 2024
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