PHILLIP ANTONIO KELLEY

WINSTON SALEM, NC
NPI1083055396
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-04383)
Enumeration Date2013-07-15
Last Update Date2022-07-18
Business Address
PHILLIP ANTONIO KELLEY PA-C
390 W SALEM AVE
WINSTON SALEM, NC 27101-5861
Phone number: 336-721-2375
Mailing Address
PHILLIP ANTONIO KELLEY PA-C
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number: