Kellaway, Carolyn Green

Kellaway, Carolyn Green is an individual health care provider with primary practice located at 5 Firstvillage Drive , Pinehurst NC 28374. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Kellaway, Carolyn Green can be contacted via phone (910) 295-6831.

Contact Information

Primary practice address
5 Firstvillage Drive Pinehurst NC 28374
Fax: (910) 295-0244
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 001003031 North Carolina

Profile Details

NPI number 1457647604
LBN Legal business name Kellaway, Carolyn Green
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2011
Last updated Oct 4th, 2019 - about 7 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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