Individual
JEFFREY ANDREW KINGSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2011
Mailing address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2011
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2022-01893
NC
208M00000X
Hospitalist Physician
2022-01893
NC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2022-01893
NC
390200000X
Student in an Organized Health Care Education/Training Program
OT019283
PA
Other
Enumeration date
06/17/2019
Last updated
02/07/2023
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