Individual
KELLY BRIANA LEVITAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8821 BLAKENEY PROFESSIONAL DR, CHARLOTTE, NC 28277-6594
(704) 887-1101
(704) 887-1102
Mailing address
8821 BLAKENEY PROFESSIONAL DR, CHARLOTTE, NC 28277-6594
(704) 887-1101
(704) 887-1102
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
102908
NC
Other
Enumeration date
12/27/2005
Last updated
10/25/2007
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