Individual
KEVIN SHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5 REGIONAL CIR # BC, PINEHURST, NC 28374-9863
(828) 322-7546
(828) 322-9927
Mailing address
1450 PROFESSIONAL PARK DR STE 150, WINSTON SALEM, NC 27103-1307
(336) 724-2434
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
202400393
NC
207ND0101X
MOHS-Micrographic Surgery Physician
202400393
NC
Other
Enumeration date
03/20/2019
Last updated
04/02/2024
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