Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelly Teabo, PA-C

Individual provider Physician Assistant · NPI 1780091918

Kelly Teabo, PA-C is a Physician Assistant in Raleigh, North Carolina. Works from 3 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2014
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

1616 E Millbrook Rd Ste 110
Raleigh, NC 27609-4971
Phone: (919) 341-4016
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 8505 E Oak Island Dr, Oak Island, NC 28465-8166 — (603) 303-8281
  • 265 Brookview Centre Way Ste 400, Knoxville, TN 37919-4052 — (865) 328-7689

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 001005135 (NC)

Record details

NPI number1780091918
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 21, 2014
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025

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