Provider Demographics
NPI:1770183451
Name:TEUNE, KELSIE NICOLE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:KELSIE
Middle Name:NICOLE
Last Name:TEUNE
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:280 EXECUTIVE PARK DR STE 100
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-1838
Mailing Address - Country:US
Mailing Address - Phone:704-237-4240
Mailing Address - Fax:704-547-3150
Practice Address - Street 1:280 EXECUTIVE PARK DR
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-1837
Practice Address - Country:US
Practice Address - Phone:704-237-4240
Practice Address - Fax:704-547-3150
Is Sole Proprietor?:No
Enumeration Date:2020-10-30
Last Update Date:2021-12-15
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Provider Licenses
StateLicense IDTaxonomies
NC0010-10693363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical