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Kelly Ryan Wackerle, MD
Neurological Surgery Physician in Charlotte, North Carolina
NPI 1336671700

Kelly Ryan Wackerle is a Neurological Surgery Physician based in Charlotte, NC. Kelly Ryan Wackerle practices in Charlotte, NC and has the professional credentials of MD. The NPI Number for Kelly Ryan Wackerle is 1336671700 and holds a License No. (North Carolina).

The current practice location address for Kelly Ryan Wackerle is 2801 Randolph Rd Ste 100, Charlotte, NC and can be reached out via phone at 704-367-4800 and via fax at 704-316-3025.

Location: 2801 Randolph Rd Ste 100, Charlotte, NC, 28260-0447
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336671700
Provider Name
Kelly Ryan Wackerle
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2801 Randolph Rd Ste 100, Charlotte, NC, 28260-0447
Phone Number
704-367-4800
Fax Number
704-316-3025
Provider Enumeration Date
04/03/2017
Last Update Date
11/16/2024
institution
Provider Business Practice Location Address Details
Address
2801 Randolph Rd Ste 100
City
Charlotte
State
North Carolina
Zip
28211-1051
Phone Number
704-367-4800
Fax Number
704-316-3025
person
Provider Business Mailing Address Details
Address
2801 Randolph Rd Ste 100
City
Charlotte
State
North Carolina
Zip
28211-1051
Phone Number
704-367-4800
Fax Number
704-316-3025
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Neurological Surgery
Speciality
-
Taxonomy
207T00000X
License No.
2024-02000 (North Carolina)
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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