Zwiesdak, Kelly J

Zwiesdak, Kelly J is an individual health care provider with primary practice located at 3320 Silas Creek Pkwy Suite 300, Winston Salem NC 27103-3031. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Zwiesdak, Kelly J can be contacted via phone (336) 760-2169.

Contact Information

Primary practice address

3320 Silas Creek Pkwy Suite 300 Winston Salem NC 27103-3031

Phone: (336) 760-2169

Fax: (336) 760-2385

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Eye and Vision Services Providers / Optometrist	152W00000X	2076	North Carolina

Profile Details

NPI number	1659330652
LBN Legal business name	Zwiesdak, Kelly J
Credentials	Doctor of Optometry (OD)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Mar 20th, 2006
Last updated	Sep 2nd, 2009 - about 15 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

State	Type	Number	Issuer
All States	NPI	1659330652	NPPES
North Carolina	MEDICAID	5908843

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