Individual
KYLIE ELIZABETH NIFONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
185 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1521
(336) 725-0222
(336) 725-0454
Mailing address
185 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1521
(336) 725-0222
(336) 725-0454
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30004228
NC
Other
Enumeration date
07/23/2025
Last updated
07/23/2025
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