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

Kelly Stevens, PA

Individual provider Physician Assistant · NPI 1104811959

Kelly Stevens, PA is a Physician Assistant in Greensboro, North Carolina. Works from 2 locations. Licensed in Florida, Montana, North Carolina and Vermont.

Licensed in
FL, MT, NC, VT
In the registry since
2005
Specialties on file
4
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2635 Lawndale Dr
Greensboro, NC 27408-4802
Phone: (336) 867-4310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 710 11th St N, Columbus, MT 59019-7215 — (406) 322-1000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-11495 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 055.0031677 (VT)
Physician Assistant Taxonomy 363A00000X · Licence 41208 (MT)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA3513 (FL)

Record details

NPI number1104811959
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 19, 2005
Last updated in NPPESDecember 10, 2024
Certification dateDecember 10, 2024

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