Individual
THERESE KAFANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
1400 WESTGATE CENTER DR STE 110, WINSTON SALEM, NC 27103-3104
(336) 277-1660
Mailing address
1400 WESTGATE CENTER DR STE 110, WINSTON SALEM, NC 27103-3104
(336) 277-1660
(336) 277-1670
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L008692
NC
Other
Enumeration date
10/09/2025
Last updated
11/03/2025
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