Individual
KATHRYN KELLY TYSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(919) 451-9594
Mailing address
539 POWER PLANT CIR, LOFT 347, WINSTON SALEM, NC 27101-4188
(919) 451-9594
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
225399
NC
Other
Enumeration date
06/23/2015
Last updated
06/23/2015
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