Individual
SHELLEY RAE KREITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3746 VEST MILL RD, WINSTON SALEM, NC 27103-2912
(336) 716-2255
(336) 774-0707
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
(336) 774-0707
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9500642
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
895032H
—
NC
Enumeration date
08/16/2005
Last updated
01/10/2012
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