Individual
CHERYL B KIRKPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-6719
Mailing address
913 ELK HILL RD, BANNER ELK, NC 28604
(828) 963-2880
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
095418
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8051092
—
NC
01
—
P00299559
RR MEDICARE
NC
Enumeration date
11/15/2005
Last updated
09/05/2007
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