Individual
KELLY CHRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1340 WALTER REED RD STE 101, FAYETTEVILLE, NC 28304-4451
(910) 401-5425
Mailing address
PO BOX 96860, CHARLOTTE, NC 28296-6860
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001013934
NC
Other
Enumeration date
01/30/2024
Last updated
06/03/2025
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