Individual
KIM MARIE KINSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4000 S SWAIM STREET EXT, JONESVILLE, NC 28642
(336) 835-6300
(336) 835-4761
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-1331
(336) 716-3202
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
2010-01616
NC
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
2010-01616
NC
Other
Enumeration date
12/04/2006
Last updated
02/18/2020
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