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Contact Information

KELLIE D TATRO, PA-C, RRA, RT(R)
4800 S CROATAN HWY
NAGS HEAD, NC27959-9704
 Phone: 252-449-5600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Radiology Practitioner Assistant

243U00000X
Indicates primary specialty

NPI Profile & details for KELLIE D TATRO · (Female)

NPI # 1366905705
Status Active
Credentials PA-C, RRA, RT(R)
Entity Individual
Enumeration date 04/11/2019
Last updated 04/09/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • License # 349813
  • MD License # C0010339
  • NC License # 301411
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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