Individual
MR. KEITH ROBERT BOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2827 LYNDHURST AVE, SUITE 203, WINSTON SALEM, NC 27103-4145
(336) 794-8624
(336) 231-8845
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 794-8624
(336) 231-8845
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-05133
NC
363AS0400X
Surgical Physician Assistant
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Other
Enumeration date
06/03/2014
Last updated
08/02/2023
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