Organization
LARRY S KILBY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIM REED (OFFICE MANAGER)
(336) 765-6897
Entity
Organization
Contact information
Practice address
730 HIGHLAND OAKS DR, WINSTON SALEM, NC 27103-7154
(336) 765-6897
Mailing address
730 HIGHLAND OAKS DR, WINSTON SALEM, NC 27103-7154
(336) 765-6897
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15953
NC
363A00000X
Physician Assistant
102078
NC
363LF0000X
Family Nurse Practitioner
5006328
NC
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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