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KELLY GREEN PA-C
NPI 1255887386
Physician Assistant in Wake Forest, NC

Active since August 29, 2016
1237 SHIREHALL PARK LN, WAKE FOREST, NC 27587(919) 667-3714 Get Directions Write a Review

NPPES record last updated: August 29, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Green Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY GREEN PA-C (NPI 1255887386) is an individual physician assistant in Wake Forest, North Carolina, licensed in North Carolina (001006672) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1255887386
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY GREENCredential: PA-C
Location Address1237 SHIREHALL PARK LNWake Forest, NC 27587-0601
Mailing Address1237 Shirehall Park LnWake Forest, NC 27587-0601 · (919) 667-3714
Phone(919) 667-3714
Sole ProprietorNo
Enumeration DateAugust 29, 2016
✔ NPI 1255887386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 001006672
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1237 SHIREHALL PARK LN, Wake Forest, NC 27587
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Green's NPI number?

The NPI number for Kelly Green is 1255887386. It was assigned to this individual provider in the NPPES registry on August 29, 2016.

Where is Kelly Green located?

Kelly Green practices at 1237 Shirehall Park Ln, Wake Forest, NC 27587. The listed phone number is (919) 667-3714.

What is Kelly Green's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kelly Green was last updated on August 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.