Provider Demographics
NPI:1891553632
Name:ROMERO, KALEY ANNE (PA-C)
Entity type:Individual
Prefix:
First Name:KALEY
Middle Name:ANNE
Last Name:ROMERO
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Gender:
Credentials:PA-C
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Mailing Address - Street 1:3158 FREEDOM DR STE 3102
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28208-0014
Mailing Address - Country:US
Mailing Address - Phone:704-971-7099
Mailing Address - Fax:704-971-0035
Practice Address - Street 1:920 COX RD STE 201
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-3435
Practice Address - Country:US
Practice Address - Phone:704-864-8302
Practice Address - Fax:704-864-0228
Is Sole Proprietor?:No
Enumeration Date:2024-03-07
Last Update Date:2025-05-02
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Provider Licenses
StateLicense IDTaxonomies
NJ25MP00849100363A00000X
NY031570363A00000X
NC0010-14656363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant