KELLY BRIANA LEVITAS PA-C NPI 1609853159

NPI Information

NPI: 1609853159
Provider Name: KELLY BRIANA LEVITAS, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
8821 BLAKENEY PROFESSIONAL DR
CHARLOTTE, NC
ZIP 28277
Phone: (704) 887-1101
Get Directions

Kelly Briana Levitas, PA-C is a medical physician assistant in Charlotte, NC. Kelly Briana Levitas, PA-C NPI is 1609853159. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8821 BLAKENEY PROFESSIONAL DR
CHARLOTTE, NC
ZIP 28277-594
Phone: (704) 887-1101
Fax: (704) 887-1102

The enumeration date for this NPI number is 12/27/2005 and was last updated on 10/25/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	102908	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P41815	MEDICARE UPIN	NORTH CAROLINA
2	2751229B	MEDICARE PIN	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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