Individual
MRS. KRISTINE ANNE DRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP-CCC
Contact information
Practice address
3455 POLO RD STE 109, WINSTON SALEM, NC 27106-4860
(336) 407-6257
Mailing address
3455 POLO RD STE 109, WINSTON SALEM, NC 27106-4860
(336) 407-6257
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2939
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7412387
—
NC
Enumeration date
04/18/2007
Last updated
06/10/2014
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