Individual
KAITLYN MICHELE SWISTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157-0001
(336) 716-6304
Mailing address
MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157-0001
(336) 716-6304
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2025-01587
NC
207P00000X
Emergency Medicine Physician
86162
SC
207P00000X
Emergency Medicine Physician
LL86162
SC
Other
Enumeration date
05/15/2021
Last updated
01/20/2026
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