Individual
MR. JOSEPH KYLE MCCONNAUGHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
1164 CHARLIE BRANCH DR, WINTERVILLE, NC 28590-8054
(704) 770-5146
Mailing address
1164 CHARLIE BRANCH DR, WINTERVILLE, NC 28590-8054
(704) 770-5146
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
0010-12897
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/22/2022
Last updated
04/14/2025
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