Individual
KATRINA COLE ROMBLAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5010 PETERS CREEK PKWY, WINSTON SALEM, NC 27127-7276
(336) 788-4664
(336) 788-0573
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
104051
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105174
UNITED HEALTHCARE
NC
01
—
D6461
MEDCOST
NC
Enumeration date
12/20/2005
Last updated
09/20/2023
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