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

Kim Kerry Neely, PAC

Individual provider Physician Assistant · NPI 1912084013

Kim Kerry Neely, PAC is a Physician Assistant in Statesville, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

2001 Van Haven Dr
Statesville, NC 28625-4342
Phone: (704) 942-7922
Fax: (704) 828-8248
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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 102318 (NC)

Record details

NPI number1912084013
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorYes
NPI enumeratedNovember 1, 2006
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026

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