Provider Demographics
NPI:1184604209
Name:KLAAREN, KELLY HALL (PA-C)
Entity type:Individual
Prefix:MS
First Name:KELLY
Middle Name:HALL
Last Name:KLAAREN
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:7 VANDERBILT PARK DR
Mailing Address - Street 2:SUITE 100A
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-1700
Mailing Address - Country:US
Mailing Address - Phone:828-258-0969
Mailing Address - Fax:828-258-8403
Practice Address - Street 1:7 VANDERBILT PARK DR
Practice Address - Street 2:SUITE 100A
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-1700
Practice Address - Country:US
Practice Address - Phone:828-258-0969
Practice Address - Fax:828-258-8403
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC102857363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant