Individual
CHANNING KITHCART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 S MARTIN LUTHER KING JR DR, WINSTON SALEM, NC 27110-0003
(919) 685-6239
Mailing address
8 BEVEL CT, DURHAM, NC 27704-6119
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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