KELLY BRIANA LEVITAS

CHARLOTTE, NC
NPI1609853159
Former NameKELLY BRIANA DIVEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NC  102908)
Enumeration Date2005-12-27
Last Update Date2007-10-25
Business Address
-- KELLY BRIANA LEVITAS PA-C
8821 BLAKENEY PROFESSIONAL DR
CHARLOTTE, NC 28277-6594
Phone number: 704-887-1101
Mailing Address
-- KELLY BRIANA LEVITAS PA-C
8821 BLAKENEY PROFESSIONAL DR
CHARLOTTE, NC 28277-6594
Phone number: 704-887-1101
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