| NPI | 1972566933 |
|---|---|
| Doing Business As | KERNERSVILLE PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | JOANELLE V KELLY Office Manager 336-993-1618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 40743) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NC 40743) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2013-10-24 |