Individual
KELLIE PRESLAR KOONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1200 N MARTIN LUTHER KING JR DR, WINSTON SALEM, NC 27101-3006
(336) 713-9800
(336) 713-9641
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-9800
(336) 713-9641
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5012173
NC
Other
Enumeration date
08/27/2019
Last updated
01/27/2023
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