Duncan, Kelli Penegar

Duncan, Kelli Penegar is an individual health care provider with primary practice located at 1994 Wellness Blvd Suite 110, Monroe NC 28110-7767. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Duncan, Kelli Penegar can be contacted via phone (704) 384-8460.

Contact Information

Primary practice address
1994 Wellness Blvd Suite 110 Monroe NC 28110-7767
Phone: (704) 384-8460
Fax: (704) 384-8465
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 101767 North Carolina

Profile Details

NPI number 1033174206
LBN Legal business name Duncan, Kelli Penegar
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated May 1st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033174206 NPPES
North Carolina MEDICAID 8102917

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