Individual
KATHLEEN MARIE REICHERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
755 S STATE ST, YADKINVILLE, NC 27055-7756
(336) 849-4171
Mailing address
719 GALES AVE, WINSTON SALEM, NC 27103-3701
(330) 842-0736
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5009901
NC
363LF0000X
Family Nurse Practitioner
APRN.CNP.021261
OH
Other
Enumeration date
09/25/2017
Last updated
01/06/2019
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