Individual
KELLY ANN SPAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
500 SHEPHERD ST, SUITE 500, WINSTON SALEM, NC 27103-1633
(336) 716-2255
(336) 716-6937
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
(336) 716-6937
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
5004026
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7000703
—
NC
Enumeration date
12/11/2006
Last updated
01/26/2011
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