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Licensee General Information Practice Information Education,
Certifications,
& Area of Practice Memberships,
Honors, Awards
& Public Service Academic Appointments
& Publications Actions - Adverse
& Administrative Malpractice Convictions
Licensee Information
Mary Louise Keller - PA-C
0010-02213
Active
No
02/01/2010
01/31/2026

Active Supervisor

NameTypeStatusApprovedInactive
Ballard, William Evan, MD MD Active 10/21/2016

North Carolina Hospital Admitting Privileges

Location
None Reported

Out of State Active/Inactive Licenses

State
None Reported

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 10/8/2025 11:46:03 PM
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