Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLIE DEANNE TATRO, PA-C, RRA, RT(R)
ActiveKELLIE DEANNE TATRO, PA-C, RRA, RT(R) is a Physician Assistant healthcare provider located in NAGS HEAD, North Carolina. NPI 1366905705 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · NAGS HEAD, NC
Registration Details
- NPI Number
- 1366905705
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 11, 2019 (7.3344856186236 yrs)
- Last Updated
- Oct 1, 2025
- Licenses
-
301411 (NC)349813
Practice Information
- Address
-
4800 S CROATAN HWYNAGS HEAD, NC, 279599704Browse NC providers · Browse ZIP 27959
- Phone
- 2524495600
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- 243U00000X
Other Physician Assistant Providers in NAGS HEAD, NC
| Name | Credential | NPI |
|---|---|---|
| KENNETH DEBARTH | PA-C | 1811941495 |
| KIMBERLY CLEMENTS CEASER | PA-C | 1689627457 |
| TRUDIE GARDNER | PA-C | 1710932363 |
| TODD D ENSIGN | PAC | 1346288859 |
| ANNA B OPREA | PA-C | 1144459389 |
| PHILIP A KELLER | P.A. | 1649505082 |
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.