Kindle-Suersin, Kesi Tabia
Kindle-Suersin, Kesi Tabia is an individual health care provider with primary practice located at 2668 Peters Creek Pkwy , Winston Salem NC 27127-5655. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Kindle-Suersin, Kesi Tabia can be contacted via phone (336) 200-7020.Contact Information
Primary practice address
2668 Peters Creek Pkwy
Winston Salem NC 27127-5655
Phone: (336) 200-7020
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 200200933 | North Carolina |
Profile Details
NPI number | 1528035268 |
---|---|
LBN Legal business name | Kindle-Suersin, Kesi Tabia |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 1st, 2006 |
Last updated | Jul 21st, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1528035268 | NPPES |
Other | 804752 | PARTNERS | |
Other | 13153 | PARTNERS | |
Other | 7706384 | PARTNERS | |
MEDICAID | 8913153 | PARTNERS | |
MEDICAID | 3810000708 | PARTNERS | |
Other | D6480 | PARTNERS | |
Other | H64259 | PARTNERS | |
MEDICAID | 10100496 | PARTNERS | |
MEDICAID | Q00933 | PARTNERS |
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