KELLY RYAN WACKERLE

CHARLOTTE, NC
NPI1336671700
Former NameKELLY RYAN MURPHY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207T00000X Neurological Surgery
(Licence: NC  2024-02000)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-04-03
Last Update Date2024-10-21
Business Address
KELLY RYAN WACKERLE MD
2801 RANDOLPH RD STE 100
CHARLOTTE, NC 28211-1051
Phone number: 704-367-4800
Mailing Address
KELLY RYAN WACKERLE MD
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number: