Individual provider · Type 1 NPI

Timothy Devin Kallam, PA-C

Physician Assistant · Charlotte, NC

NPI number 1922610328 Active

Practice location

9915 Park Cedar Dr
Charlotte, NC 28210-8905

Mailing address

4985 Friendly Farms Rd
Greensboro, NC 27406-8213

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0010-10336 (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 1922610328

Timothy Devin Kallam, PA-C's National Provider Identifier is 1922610328, issued on Aug 18, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Charlotte, NC. The record was last updated on Aug 18, 2020.