Individual
KAYSHA SHERAI BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1617 S HAWTHORNE RD, WINSTON SALEM, NC 27103-4127
(855) 785-0104
Mailing address
190 WILLOW BEND CT APT H, KERNERSVILLE, NC 27284-7457
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
88883
NC
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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