Doctor Name: | MR. KAMRON YORK BENFIELD |
NPI Number: | 1003081019 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA |
License Number: | 100648 |
Business Practice Address: | Medical Center Blvd Winston Salem, NC - 271570001 |
Business Phone Number: | 3367164838 |
Business Fax Number: | 3367167771 |
Mailing Address: | Medical Center Blvd, WINSTON SALEM |
State: | NC |
Postal Code: | 271570001 |
Phone Number: | 3367164838 |
Fax Number: | 3367167771 |
NPI Enumeration Date: | 04/30/2008 |
NPI Last Update Date: | 04/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 100648 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |