Individual
HEATHER LEIGH MCDANIEL KOONTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-PNP
Contact information
Practice address
240 BROAD ST, KERNERSVILLE, NC 27284-2930
(336) 993-8333
(336) 993-5144
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
185514
NC
363L00000X
Nurse Practitioner
Primary
5002032
NC
Other
Enumeration date
09/20/2006
Last updated
07/25/2024
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