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Contact Information

KELLY DUEWER, PA
3404 WAKE FOREST RD # ROD
RALEIGH, NC27609-7340
 Phone: 919-862-5480
 Fax: 919-862-5483
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KELLY DUEWER · (Female)

NPI # 1649388935
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 08/27/2006
Last updated 09/07/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 01632
  • NY License # 011430
  • NY Other P00388622 MEDICARE RAILROAD
Hospital affiliation(s)
  • DUKE HEALTH RALEIGH HOSPITAL - (Acute Care)
    3400 WAKE FOREST RD
    RALEIGH, NC 27609
  • DUKE UNIVERSITY HOSPITAL - (Acute Care)
    PO BOX 3708 DUMC ERWIN RD
    DURHAM, NC 27710
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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