Kenneth Pelletier, PA-C Valid NPI

Individual provider · Surgical Physician Assistant · Raleigh, NC

NPI

1265488662

Type

Individual (Type 1)

Primary specialty

Surgical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AS0400X

License number

102579 (NC)

Sex

Male

Sole proprietor

No

Enumerated

2006-05-26

Last updated

2010-08-12