Individual provider · Type 1 NPI

Kenneth Pelletier, PA-C

Surgical Physician Assistant · Raleigh, NC

NPI number 1265488662 Active

Practice location

3404 Wake Forest Rd, Ste 201
Raleigh, NC 27609-7341

Fax (919) 256-1530

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X102579 (NC)

Surgical Physician Assistant: Definition to come...

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About NPI 1265488662

Kenneth Pelletier, PA-C's National Provider Identifier is 1265488662, issued on May 26, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Raleigh, NC. The record was last updated on Aug 12, 2010.