Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH PELLETIER, PA-C
ActiveKENNETH PELLETIER, PA-C is a Surgical Physician Assistant healthcare provider located in RALEIGH, North Carolina. NPI 1265488662 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · RALEIGH, NC
Registration Details
- NPI Number
- 1265488662
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 26, 2006 (20.204970407826 yrs)
- Last Updated
- Aug 12, 2010
- License
-
102579 (NC)
Practice Information
- Address
-
3404 WAKE FOREST RDSTE 201RALEIGH, NC, 276097341Browse NC providers · Browse ZIP 27609
- Phone
- 9192561511
- Fax
- 9192561530
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in RALEIGH, NC
| Name | Credential | NPI |
|---|---|---|
| MELISSA ROGERS | PA-C | 1194707638 |
| MR. JON DABU VERCELES | PA-C | 1841263324 |
| ANN E WHITAKER | PA | 1386618379 |
| MS. MICHELLE MARCELLA MCMOON | PA-C | 1568439909 |
| MR. DANIEL CRAIG SMYRSKI | PA C | 1720031966 |
| MR. NEAL RICHARD COLE | PAC | 1932152972 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.