Individual provider · Type 1 NPI

Kim Kerry Neely, PAC

Physician Assistant · Statesville, NC

NPI number 1912084013 Active

Practice location

2001 Van Haven Dr
Statesville, NC 28625-4342

Call (704) 942-7922 Map

Fax (704) 828-8248

Mailing address

12824 District South Dr Apt 6414
Charlotte, NC 28277-5221

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X102318 (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…

12 other providers at this address

Other physician assistant providers in Statesville

See all in Statesville →

About NPI 1912084013

Kim Kerry Neely, PAC's National Provider Identifier is 1912084013, issued on Nov 1, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Statesville, NC. The record was last updated on Aug 6, 2026.