Individual
KAYLEIGH SURENDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
126 GRAND HILL PL, HOLLY SPRINGS, NC 27540-4416
(919) 285-2138
Mailing address
200 OLIVE FIELD DR, HOLLY SPRINGS, NC 27540-6215
(443) 315-3785
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-04330
NC
Other
Enumeration date
10/03/2012
Last updated
10/20/2025
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