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Individual

KEVIN JAMES SHEFFERLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MMS IN PA STUDIES

Contact information

Practice address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2011
Mailing address
2346 LYNDHURST AVE, WINSTON SALEM, NC 27103-3603
(804) 678-9485

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0010-08249
NC

Other

Enumeration date
07/15/2018
Last updated
07/15/2018
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