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1083055396
PHILLIP ANTONIO KELLEY
WINSTON SALEM, NC
NPI
1083055396
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-04383)
Enumeration Date
2013-07-15
Last Update Date
2022-07-18
Business Address
PHILLIP ANTONIO KELLEY PA-C
390 W SALEM AVE
WINSTON SALEM, NC 27101-5861
Phone number: 336-721-2375
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Mailing Address
PHILLIP ANTONIO KELLEY PA-C
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number:
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