Individual
JENNIFER THI WING KRALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157
(336) 716-4649
Mailing address
MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157-0001
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
2019-02191
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2014
Last updated
02/09/2022
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