Individual provider · Type 1 NPI

Kyle Glenn Obendorf

Physician Assistant · Winston Salem, NC

NPI number 1093161564 Active

Practice location

3333 Brookview Hills Blvd Ste 207
Winston Salem, NC 27103-5661

Fax (336) 659-0953

Mailing address

100 Kimel Forest Dr
Winston Salem, NC 27103-6074

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X001006517 (NC)
Physician Assistant Primary 363A00000X0010-06517 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1093161564

Kyle Glenn Obendorf's National Provider Identifier is 1093161564, issued on May 13, 2016. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Winston Salem, NC. The record was last updated on Oct 4, 2022.