Individual
KELLI PENEGAR DUNCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1994 WELLNESS BLVD, SUITE 110, MONROE, NC 28110-7767
(704) 384-8460
(704) 384-8465
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
(704) 384-7830
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
101767
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8102917
—
NC
Enumeration date
04/19/2006
Last updated
05/01/2024
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