Individual
KELLY STAMBAUGH HYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4048 E US HIGHWAY 64 ALT, PHYSICIAN OFFICE BUILDING SUITE 1, MURPHY, NC 28906-6968
(828) 837-8131
(828) 837-7687
Mailing address
963 LAUREL DR, MARBLE, NC 28905-6801
(828) 837-8131
(828) 837-7687
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
101776
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101776
LICENSE
NC
Enumeration date
11/08/2006
Last updated
01/18/2012
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