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Individual

KELLEY MONTOYA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157
(336) 716-4311
Mailing address
2208 BRIAR GLEN RD, WINSTON SALEM, NC 27127-6675
(919) 593-0770

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
156810
NC

Other

Enumeration date
03/30/2009
Last updated
02/26/2013
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