Individual provider · Type 1 NPI

Kerry Keldon Mackey Sr.

Physician Assistant · Raleigh, NC

NPI number 1417599580 Active

Practice location

4700 Falls Of Neuse Rd Ste 355
Raleigh, NC 27609-6275

Call (919) 876-3130 Map

Fax (888) 438-1446

Mailing address

3835 N Freeway Blvd Ste 100
Sacramento, CA 95834-1954

Other practice locations

  • 1001 Rock Quarry Rd, Raleigh, NC 27610-3825 · (919) 833-3111

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X001009499 (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 1417599580

Kerry Keldon Mackey Sr.'s National Provider Identifier is 1417599580, issued on Oct 10, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Raleigh, NC. The record was last updated on May 20, 2026.