Organization
KERRY TAYLOR OR KERRY TAYLOR, INC.
Active
Other names
It Takes A Village
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA G BROWN (ASSISTANT TO OWNER)
(336) 723-7707
Entity
Organization
Contact information
Practice address
102 W 3RD ST, SUITE 330, WINSTON SALEM, NC 27101-3915
(336) 723-7707
(336) 723-7708
Mailing address
102 W 3RD ST, SUITE 330, WINSTON SALEM, NC 27101-3915
(336) 723-7707
(336) 723-7708
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
990391
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6006015
MEDICAID GROUP
NC
05
—
8300294
—
NC
Enumeration date
09/29/2006
Last updated
01/29/2008
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