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Licensee Information

Andrea Maluta Kelly - PA-C
0010-04126
Active
No
03/01/2013
11/11/2026

Active Supervisor

NameTypeStatusApprovedInactive
Clements, John Carl, MD MD Active 05/01/2014
Cowen, Jonathan David, DO DO Active 04/01/2014
Prendiville, Simon St. John, MD MD Active 11/12/2019

North Carolina Hospital Admitting Privileges

Location
Lake Norman Regional Medical Center
Presbyterian Hospital

Out of State Active/Inactive Licenses

State
District of Columbia
Maryland

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 5/10/2026 3:33:03 PM
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