Individual
AKWIASDI KAYE REVELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1516 DEEP RIVER ROAD, HIGH POINT, NC 27265
(704) 682-7197
Mailing address
201 WEISNER RD, OLIN, NC 28660-9486
(704) 682-7197
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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