Stanley, Katherine R

Stanley, Katherine R is an sole proprietor health care provider with primary practice located at 2830 Maplewood Ave Ste A , Winston Salem NC 27103-4114. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mastectomy Fitter, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter is her primary health care specialty. Stanley, Katherine R can be contacted via phone (336) 331-3480.

Contact Information

Primary practice address
2830 Maplewood Ave Ste A Winston Salem NC 27103-4114
Fax: (336) 793-1218
Website:

Profile Details

NPI number 1164488755
LBN Legal business name Stanley, Katherine R
Credentials CFM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2006
Last updated Oct 6th, 2022 - about 2 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164488755 NPPES
North Carolina MEDICAID 7701864

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