KYLE GLENN OBENDORF

WINSTON SALEM, NC
NPI1093161564
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-06517)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: NC  001006517)
Enumeration Date2016-05-13
Last Update Date2022-10-04
Business Address
KYLE GLENN OBENDORF
3333 BROOKVIEW HILLS BLVD STE 207
WINSTON SALEM, NC 27103-5661
Phone number: 367-655-2503
Mailing Address
KYLE GLENN OBENDORF
100 KIMEL FOREST DR
WINSTON SALEM, NC 27103-6074
Phone number: