Individual provider · Type 1 NPI

Theresa Louise Kelly, PA-C

Physician Assistant · Winston-Salem, NC

NPI number 1073572483 Active

Practice location

4692 Brownsboro Road
Winston-Salem, NC 27106-3410

Fax (336) 251-1117

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X103156 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1073572483

Theresa Louise Kelly, PA-C's National Provider Identifier is 1073572483, issued on Mar 23, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Winston-Salem, NC. The record was last updated on Sep 12, 2011.