| Doctor Name: | KRISTIN SUZANNE MCNALLY |
| NPI Number: | 1558726745 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | AGNP-C |
| License Number: | 5008244 |
| Business Practice Address: | 10188 N Main St Archdale, NC - 272632906 |
| Business Phone Number: | 3368022070 |
| Business Fax Number: | 3368022071 |
| Mailing Address: | 1701 Westchester Dr, Ste. 850 HIGH POINT |
| State: | NC |
| Postal Code: | 272627008 |
| Phone Number: | 3368022400 |
| Fax Number: | 3368022534 |
| NPI Enumeration Date: | 12/15/2015 |
| NPI Last Update Date: | 12/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 5008244 |
| 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: | |