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Individual

MISS KELLI ANN MCLANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
9930 KINCEY AVE STE 165, HUNTERSVILLE, NC 28078-6541
(704) 947-5005
(877) 881-8455
Mailing address
146 MEDICAL PARK RD STE 212, MOORESVILLE, NC 28117-8529
(704) 659-7850
(877) 881-8455

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-09920
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0397730024
NSC#
NC
Enumeration date
12/28/2018
Last updated
05/20/2024
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