Individual
KELLY G SVEDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2424 INDIA HOOK RD STE 120, ROCK HILL, SC 29732-1278
(704) 350-5885
(936) 244-4599
Mailing address
7819 JAARS RD, WAXHAW, NC 28173-7677
(704) 350-5885
(936) 244-4599
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-00631
NC
363A00000X
Physician Assistant
PA10819
TX
363A00000X
Physician Assistant
Primary
PA1575
SC
Other
Enumeration date
01/22/2007
Last updated
12/20/2024
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