Individual
KENDRA KATHLEEN MARTIN BARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2821 MAPLEWOOD AVE, WINSTON SALEM, NC 27103-4137
(336) 718-3960
(336) 718-3998
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 339-7551
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2011-00178
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5918090
—
NC
Enumeration date
04/15/2008
Last updated
10/29/2020
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