Kelly K Mui (NPI# 1053859330, PAC ID# 0648557181) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1053859330 |
| PAC ID by PECOS | 0648557181 |
| Professional Enrollment ID | I20170510000541 |
| Full Name | Kelly K Mui |
| Organization Legal Name | NORTHSIDE PRIMARY AND URGENT CARE |
| Address |
5397 Ramsey St Fayetteville NC 28311-1417 |
| Phone Number | 9104889011 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7719266451 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5397 Ramsey St, Fayetteville, NC 28311-1417 | 9104889011 | NORTHSIDE PRIMARY AND URGENT CARE |
| Organization Legal Name | NORTHSIDE PRIMARY AND URGENT CARE |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin R Blaschke | Physician Assistant | Northside Primary and Urgent Care | 5397 Ramsey St, Fayetteville, NC 28311-1417 |
| Street Address |
5397 RAMSEY ST |
| City | FAYETTEVILLE |
| State | NC |
| Zip | 28311-1417 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin R Blaschke | Physician Assistant | Northside Primary and Urgent Care | 5397 Ramsey St, Fayetteville, NC 28311-1417 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Misty D White | Nurse Practitioner | Neurology and Pain Management, Pllc | 5511 Ramsey St, Suite 200, Fayetteville, NC 28311-1413 |
| Bobette N Donaldson | Clinical Social Worker | All American Counseling Wellness | 5619 Ramsey St, Fayetteville, NC 28311-1423 |
| Tasheka Shanelle Travers | Clinical Social Worker | All American Counseling Wellness | 5619 Ramsey St, Fayetteville, NC 28311-1423 |
| Paul S Benveniste | Psychologist, Clinical | All American Counseling Wellness | 5619 Ramsey St, Fayetteville, NC 28311-1423 |
| Andrew Lovsin | Optometry | Risk Optometric Associates, Pa | 4601 Ramsey St, Fayetteville, NC 28311-2138 |
| Carlene Rosado Martin | Optometry | Risk Optometric Associates, Pa | 4601 Ramsey St, Fayetteville, NC 28311-2138 |
| Elwood Glenn Likens | Optometry | Risk Optometric Associates, Pa | 4601 Ramsey St, Fayetteville, NC 28311-2138 |
| Susan Walsh Hendrix | Optometry | Risk Optometric Associates, Pa | 4601 Ramsey St, Fayetteville, NC 28311-2138 |
| Brandi D Chavis | Optometry | Risk Optometric Associates, Pa | 4601 Ramsey St, Fayetteville, NC 28311-2138 |
| Karen L Brown | Optometry | Risk Optometric Associates, Pa | 4601 Ramsey St, Fayetteville, NC 28311-2138 |
| Find all physicians in zip 28311 | |||
| City | FAYETTEVILLE |
| Zip Code | 28311 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FAYETTEVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kelly K Mui.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.