Individual
ELEANOR PITZ KIELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-4319
(336) 716-4091
(336) 716-7994
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-0238
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
2017-00456
NC
207YP0228X
Pediatric Otolaryngology Physician
Primary
2017-00456
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT207868
PA LICENSE #
PA
Enumeration date
07/06/2010
Last updated
05/03/2023
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