Individual
KATHRYN SOULEN KIRSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3369 SALLY KIRK RD, WINSTON SALEM, NC 27106-4776
(336) 765-1223
Mailing address
3369 SALLY KIRK RD, WINSTON SALEM, NC 27106-4776
(336) 765-1223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10010
NC
Other
Enumeration date
12/05/2008
Last updated
12/05/2008
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