IndividualActive
Kelly Passarello, PA-C
NPI 1639449697 · Adult Medicine Physician · Summerville, SC
Provider details
- NPI number
- 1639449697
- Entity type
- Individual
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA08170 (TX)
Mailing address
Po Box 602108
Charlotte, NC 28260-2108
Registry dates
- Enumerated
- 2012-01-09
- Last updated
- 2024-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.