Individual
DR. KURT LEWIS KLINEPETER
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
MEDICAL CENTER BLVD, WINSTON-SALEM, NC 27157
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
29310
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2007445000
—
WV
01
—
34697
MEDCOST
—
01
—
4451835
AETNA
—
01
—
4746
PARTNERS
—
01
—
49674
BCBS
—
05
—
6723110
—
VA
05
—
8949674
—
NC
05
—
Q29310
—
SC
Enumeration date
12/01/2005
Last updated
05/23/2008
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