Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY RYAN WACKERLE, MD
Active Sole ProprietorKELLY RYAN WACKERLE, MD is a Neurological Surgery healthcare provider located in CHARLOTTE, North Carolina. NPI 1336671700 is currently active in the NPPES registry. Verify at CMS.
Neurological Surgery · CHARLOTTE, NC
Registration Details
- NPI Number
- 1336671700
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 3, 2017 (9.3953774005974 yrs)
- Last Updated
- Oct 16, 2025
- License
-
2024-02000 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2801 RANDOLPH RD STE 100CHARLOTTE, NC, 282111051Browse NC providers · Browse ZIP 28211
- Phone
- 7043674800
- Fax
- 7043163025
- Primary Specialty
-
Neurological Surgery
207T00000X
- Additional Specialty
- Student (Health Education/Training)
Other Neurological Surgery Providers in CHARLOTTE, NC
| Name | Credential | NPI |
|---|---|---|
| TIM EUGENE ADAMSON | MD | 1326046236 |
| CRAIG ANDREW VANDERVEER | MD | 1184622060 |
| CHARLES SCOTT MCLANAHAN | MD | 1225036106 |
| FREDERICK ELI FINGER III | MD | 1962400861 |
| MICHAEL DANIEL HEAFNER | MD | 1811995715 |
| EMMET HUNTER DYER | MD | 1962400903 |
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.