Individual
ANGELA KELLERMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
116 3RD ST NW STE 102, HICKORY, NC 28601-6137
(828) 855-1192
(828) 358-0832
Mailing address
PO BOX 2268, HICKORY, NC 28603-2268
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-02232
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
790246A
—
NC
Enumeration date
03/03/2010
Last updated
12/02/2024
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