Individual
KELLIE MARIE AGALSOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
310 N BRIDGE ST, ELKIN, NC 28621-3407
(256) 617-1354
Mailing address
310 N BRIDGE ST, ELKIN, NC 28621-3407
(256) 617-1354
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/03/2023
Last updated
12/26/2023
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