Individual provider · Type 1 NPI

Carolyn Green Kellaway, PA-C

Medical Physician Assistant · Pinehurst, NC

NPI number 1457647604 Active

Practice location

5 Firstvillage Drive
Pinehurst, NC 28374

Call (910) 295-6831 Map

Fax (910) 295-0244

Mailing address

PO Box 105
Troy, NC 27371-0105

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X001003031 (NC)

Medical Physician Assistant: Definition to come...

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About NPI 1457647604

Carolyn Green Kellaway, PA-C's National Provider Identifier is 1457647604, issued on Jun 27, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Pinehurst, NC. The record was last updated on Oct 4, 2019.