Individual
KEA ELIZABETH TRESPALACIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
205 S KINGS DR, CHARLOTTE, NC 28204-2661
(980) 375-0550
Mailing address
1540 LAKEDELL DR, CHARLOTTE, NC 28215-2006
(352) 327-2575
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-11932
NC
Other
Enumeration date
01/26/2021
Last updated
09/12/2023
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