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Individual

KATHY ANN LEVY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
GNP

Contact information

Practice address
3069 TRENWEST DR, STE 200, WINSTON SALEM, NC 27103-3211
(336) 993-3146
(336) 992-3930
Mailing address
3069 TRENWEST DR, STE 200, WINSTON SALEM, NC 27103-3211
(336) 993-3146
(336) 992-3930

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
52729
NC
363LG0600X
Gerontology Nurse Practitioner
600128
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1855N
BCBS
NC
01
600128
MED LIC
NC
Enumeration date
05/22/2006
Last updated
03/07/2023
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