Doctor Name: | KATY DEMANIGOLD BESS |
NPI Number: | 1013328020 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | 5006878 |
Business Practice Address: | 1635 Nc Highway 66 S Suite 235 Kernersville, NC - 272843854 |
Business Phone Number: | 3369924800 |
Business Fax Number: | 3369925160 |
Mailing Address: | 305 E Hendrix St, GREENSBORO |
State: | NC |
Postal Code: | 274011518 |
Phone Number: | 4787144228 |
Fax Number: | |
NPI Enumeration Date: | 05/13/2014 |
NPI Last Update Date: | 07/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 5006878 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |