Individual
KERRY MICHAEL LINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
27233
NC
2085R0202X
Diagnostic Radiology Physician
27233
NC
2085R0204X
Vascular & Interventional Radiology Physician
27233
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199251000
—
WV
01
—
4478007
AETNA
—
01
—
52076
BCBS
NC
01
—
6176
PARTNERS
NC
01
—
64182
MEDCOST
NC
05
—
7230117
—
WV
05
—
8952076
—
NC
05
—
Q27233
—
SC
Enumeration date
12/08/2005
Last updated
10/08/2010
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