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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KERRY KELDON MACKEY SR.

Active

KERRY KELDON MACKEY SR. is a Physician Assistant healthcare provider located in RALEIGH, North Carolina. NPI 1417599580 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · RALEIGH, NC

Registration Details

NPI Number
1417599580
Provider Type
Individual
Gender
Male
NPI Issued
Oct 10, 2019 (6.8670317292099 yrs)
Last Updated
Sep 17, 2023
License
001009499 (NC)

Practice Information

Address
3610 BUSH ST
RALEIGH, NC, 276097511
Browse NC providers · Browse ZIP 27609
Phone
9198763130
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in RALEIGH, NC

Name Credential NPI
MICHAEL EDWARD WIEGERT PA-C 1104822592
ELIZABETH FULLER PA 1144228008
PAMELA BURLESON PA-C 1447258306
I-LING YU PA-C 1477551364
MRS. ELIZABETH JAYNES TURNER PA-C 1134127905
MR. DANA W JOHNSON PA-C 1659379428
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.