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Individual

MS. KRISTEN MICHELLE DORSEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2066 NC HIGHWAY 125, ROANOKE RAPIDS, NC 27870-9436
(252) 536-5000
(252) 536-2258
Mailing address
PO BOX 640, ROANOKE RAPIDS, NC 27870-0640
(252) 536-5440
(252) 536-5444

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2012-02167
NC
208000000X
Pediatrics Physician
D64341
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
410410200
MD
Enumeration date
06/25/2006
Last updated
02/01/2013
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