Individual provider · Type 1 NPI

Kellie Deanne Tatro, PA-C, RRA, RT(R)

Physician Assistant · Nags Head, NC

NPI number 1366905705 Active

Practice location

4800 S Croatan Hwy
Nags Head, NC 27959-9704

Call (252) 449-5600 Map

Specialties and licenses

TaxonomyCodeLicense
Radiology Practitioner Assistant 243U00000X349813
Physician Assistant 363A00000XC0010339 (MD)
Physician Assistant Primary 363A00000X301411 (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 1366905705

Kellie Deanne Tatro, PA-C, RRA, RT(R)'s National Provider Identifier is 1366905705, issued on Apr 11, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Nags Head, NC. The record was last updated on Apr 9, 2026.