Kellie Deanne Tatro, PA-C, RRA, RT(R)
NPI #1366905705 in Nags Head, North Carolina
Provider Information
- NPI Number
- 1366905705
- Entity Type
- Individual
- Name
- Kellie Deanne Tatro, PA-C, RRA, RT(R)
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C, RRA, RT(R)
- Enumeration Date
- Apr 11, 2019
- Last Updated
- Oct 1, 2025
Practice Location
- Address
- 4800 S CROATAN HWY
- City
- Nags Head
- State
- North Carolina
- ZIP Code
- 27959-9704
- Phone
- (252) 449-5600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Radiology Practitioner Assistant |
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