Individual provider · Type 1 NPI
Kelly Lucille Tulp, PA-C
Surgical Physician Assistant · Chapel Hill, NC
NPI number
1629494364
Active
Practice location
101 Manning Dr
Chapel Hill, NC 27514-4226
Other practice locations
- 601 5th St S, Suite 306, St. Petersburg, FL 33701-4804 · (727) 767-4170
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA107723 (FL) |
| Surgical Physician Assistant Primary | 363AS0400X | 001010811 (NC) |
Surgical Physician Assistant: Definition to come...
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About NPI 1629494364
Kelly Lucille Tulp, PA-C's National Provider Identifier is 1629494364, issued on Mar 5, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Chapel Hill, NC. The record was last updated on Jun 30, 2022.