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Individual

KELCI POPOVNAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP-AC

Contact information

Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-0664
(336) 716-9634
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-0664
(336) 716-9634

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5020324
NC
363LP0222X
Critical Care Pediatric Nurse Practitioner
5020324
NC

Other

Enumeration date
06/27/2024
Last updated
02/17/2026
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