Individual
KAROL LISSETTE CARDENAS MONTALVO
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) 716-7243
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-7243
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2025-00336
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/23/2022
Last updated
09/30/2025
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