Individual
MRS. ANDREA ELIZABETH MCKINNOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
DEPARTMENT OF OTOLARYNGOLOGY HEAD AND NECK, MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-4161
(336) 716-9440
Mailing address
DEPARTMENT OF OTOLARYNGOLOGY HEAD AND NECK, MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-3854
(336) 716-3857
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-05903
NC
363AM0700X
Medical Physician Assistant
0010-05903
NC
363AS0400X
Surgical Physician Assistant
0010-05903
NC
Other
Enumeration date
08/19/2015
Last updated
12/23/2019
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