SearchNorth CarolinaPhysician Assistant

Kim Neely, PAC

NPI 1912084013 · on the registry since 2006 · sole proprietor

Practice

Address
2001 Van Haven Dr
Statesville, NC 28625
Phone
(704) 942-7922
Fax
(704) 828-8248
Organisation at this address
Autumn Corporation
Autumn Corporation
Autumn Care Of Statesville, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina