Individual provider · Type 1 NPI
Kelly G. Passarello, PA-C
Adult Medicine Physician · Summerville, SC
NPI number
1639449697
Active
Practice location
87 Springview Ln
Summerville, SC 29485-9077
Mailing address
PO Box 602108
Charlotte, NC 28260-2108
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | PA08170 (TX) |
| Adult Medicine Physician Primary | 207QA0505X | 1710 (SC) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
7 other providers at this address
- Carolina Family Care, IncFamily Medicine Physician Summerville, SC NPI 1235595422
- Summerville Surgical Associates, PASpecialist Summerville, SC NPI 1902967912
- Ashley Elizabeth Valiquette, DNP, APRN, AGNP-CPrimary Care Nurse Practitioner Summerville, SC NPI 1639908379
- Cherika Stephanie Gadson, NP-CFamily Nurse Practitioner Summerville, SC NPI 1881077253
- Heidi Lynn Tatum, PA-CPhysician Assistant Summerville, SC NPI 1508811522
- Lucina Avila Kidd, DOFamily Medicine Physician Summerville, SC NPI 1437384278
- Suzann Hutto Weathers, MDFamily Medicine Physician Summerville, SC NPI 1013087493
About NPI 1639449697
Kelly G. Passarello, PA-C's National Provider Identifier is 1639449697, issued on Jan 9, 2012. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Summerville, SC. The record was last updated on Feb 2, 2024.