Individual provider · Type 1 NPI

Kelly Blount, PA-C

Medical Physician Assistant · Raleigh, NC

NPI number 1972508828 Active

Practice location

5603 Duraleigh Rd, Suite 111
Raleigh, NC 27612-2688

Fax (919) 791-0911

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Medical Physician Assistant Primary 363AM0700X103450 (NC)

Medical Physician Assistant: Definition to come...

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About NPI 1972508828

Kelly Blount, PA-C's National Provider Identifier is 1972508828, issued on Jun 16, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Raleigh, NC. The record was last updated on Dec 12, 2023.