Individual
KAITLIN OLIVIA DUNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
145 KIMEL PARK DR STE 330, WINSTON SALEM, NC 27103-6972
(336) 765-6181
(336) 765-8492
Mailing address
145 KIMEL PARK DR STE 330, WINSTON SALEM, NC 27103-6972
(336) 765-6181
(336) 765-8492
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001010396
NC
Other
Enumeration date
03/05/2019
Last updated
09/09/2020
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