Individual provider · Type 1 NPI

Kelly Blankenship Spry, PA-C

Physician Assistant · Charlotte, NC

NPI number 1982717484 Active

Practice location

3623 Latrobe Dr Ste 216
Charlotte, NC 28211-2117

Call (704) 332-1291 Map

Fax (704) 926-1832

Mailing address

PO Box 221249
Charlotte, NC 28222-1249

Other practice locations

  • 1249 15th St, Suite 4093, Huntington, WV 25701-3662 · (304) 691-8714
  • Medical Center Blvd, Winston Salem, NC 27157-0001 · (336) 716-7243

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X103658 (NC)
Medical Physician Assistant 363AM0700X1973 (WV)
Physician Assistant Primary 363A00000X103658 (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 1982717484

Kelly Blankenship Spry, PA-C's National Provider Identifier is 1982717484, issued on Aug 17, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Charlotte, NC. The record was last updated on Jun 5, 2026.