Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KELLY G PASSARELLO, PA-C
ActiveMRS. KELLY G PASSARELLO, PA-C is a Adolescent Medicine healthcare provider located in SUMMERVILLE, South Carolina. NPI 1639449697 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · SUMMERVILLE, SC
Registration Details
- NPI Number
- 1639449697
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 9, 2012 (14.581160049319 yrs)
- Last Updated
- Feb 2, 2024
- Licenses
-
PA08170 (TX)1710 (SC)
Practice Information
- Address
-
87 SPRINGVIEW LNSUMMERVILLE, SC, 294859077Browse SC providers · Browse ZIP 29485
- Phone
- 8438767979
- Primary Specialty
-
Adolescent Medicine
207QA0505X
- Additional Specialty
- Adolescent Medicine
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.