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Kelli Anne Wall
Physician Assistant in Matthews, North Carolina
NPI 1639760945

Kelli Anne Wall is a Physician Assistant based in Charlotte, NC. Kelli Anne Wall practices in Matthews, NC. The NPI Number for Kelli Anne Wall is 1639760945 and holds a License No. (North Carolina).

The current practice location address for Kelli Anne Wall is 1450 Matthews Township Pkwy Ste 450, Matthews, NC and can be reached out via phone at 704-384-8480 and via fax at 704-384-8481.

Location: 1450 Matthews Township Pkwy Ste 450, Matthews, NC, 28260-0447
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639760945
Provider Name
Kelli Anne Wall
Credential
Provider Entity Type
Individual
Gender
Female
Address
1450 Matthews Township Pkwy Ste 450, Matthews, NC, 28260-0447
Phone Number
704-384-8480
Fax Number
704-384-8481
Provider Enumeration Date
01/29/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1450 Matthews Township Pkwy Ste 450
City
Matthews
State
North Carolina
Zip
28105-5343
Phone Number
704-384-8480
Fax Number
704-384-8481
person
Provider Business Mailing Address Details
Address
1450 Matthews Township Pkwy Ste 450
City
Matthews
State
North Carolina
Zip
28105-5343
Phone Number
704-384-8480
Fax Number
704-384-8481
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
0010-11928 (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
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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