Individual
MISS KELLY JAN WALEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10 DUKE MEDICINE CIR, DURHAM, NC 27710-1000
(919) 385-0081
Mailing address
7540 SILVER VIEW LN, RALEIGH, NC 27613-1071
(631) 748-2567
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-04326
NC
363AM0700X
Medical Physician Assistant
Primary
011357
NY
Other
Enumeration date
02/07/2007
Last updated
03/09/2026
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