Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Green, PA-C

Individual provider Physician Assistant · NPI 1255887386

Kelly Green, PA-C is a Physician Assistant in Wake Forest, North Carolina. Licensed in North Carolina. Registered with an NPI since 2016.

Licensed in
NC
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1237 Shirehall Park Ln
Wake Forest, NC 27587-0601
Phone: (919) 667-3714
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 001006672 (NC)

Record details

NPI number1255887386
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 29, 2016
Last updated in NPPESAugust 29, 2016

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