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Mrs. Kelly L. Stafford, PA-C
Physician Assistant in Charlotte, North Carolina
NPI 1184626806

Kelly L. Stafford is a Physician Assistant based in Charlotte, NC. Kelly L. Stafford practices in Charlotte, NC and has the professional credentials of PA-C. The NPI Number for Kelly L. Stafford is 1184626806 and holds a License No. MA051965 (North Carolina).

The current practice location address for Kelly L. Stafford is 2001 Vail Ave, Charlotte, NC and can be reached out via phone at 704-323-2000.

Location: 2001 Vail Ave, Charlotte, NC, 28209-3239
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Provider Profile Details
NPI Number
1184626806
Provider Name
Kelly L. Stafford
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2001 Vail Ave, Charlotte, NC, 28209-3239
Phone Number
704-323-2000
Fax Number
Provider Enumeration Date
08/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MA051965 01 PA MEDICAL PHYSICIAN ASST
PA05336 01 TX TEXAS STATE LICENSE #
institution
Provider Business Practice Location Address Details
Address
2001 Vail Ave
City
State
Zip
28207-1219
Phone Number
704-323-2000
Fax Number
person
Provider Business Mailing Address Details
Address
2001 Vail Ave
City
State
Zip
28207-1219
Phone Number
704-323-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
License No.
0010-02443 (North Carolina)
Definition
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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
MA051965 (Pennsylvania)
Definition
Definition to come...
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