Individual
KIRSTEN BRANTLEY FEIEREISEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-9800
(336) 713-9681
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2011
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200400856
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10095654
—
VA
01
—
137EP
BCBS
—
05
—
3810000594
—
WV
01
—
7317722
AETNA
—
01
—
804502
PARTNERS
—
05
—
89137EP
—
NC
01
—
D5620
MEDCOST
—
05
—
Q0085H
—
SC
Enumeration date
09/23/2005
Last updated
03/13/2025
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