Kelly Rebecca Latta, PA

NPI #1932579836 in Hilton Head, South Carolina

Provider Information

NPI Number: 1932579836
Entity Type: Individual
Name: Kelly Rebecca Latta, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Oct 5, 2015
Last Updated: Feb 6, 2019

Practice Location

Address: 15 MOSS CREEK VLG
City: Hilton Head
State: South Carolina
ZIP Code: 29926-1105
Phone: (843) 681-5077

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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