Individual
DR. CARLENE WENDY KINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157
(336) 716-2255
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
066170
GA
2084N0400X
Neurology Physician
Primary
2012-01576
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/06/2008
Last updated
03/13/2019
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