Whalio Doctors

NPI 1013562982

Rachel Catherine Kellomaki, PAC

Practitioner Physician Assistant Fayetteville, NC

Practice location

Address
1880 Quiet Cv, Fayetteville, NC 28304-3857
Phone
(910) 323-2477
Fax
(910) 323-5931
Mailing address
PO Box 87388, Fayetteville, NC 28304-7388

Registered specialties

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 0010-09069 (NC)

Registry record

NPI
1013562982
Entity type
Individual
Sex (as registered)
Female
NPI issued
7 Aug 2019
Record last updated
19 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.