Individual provider · Type 1 NPI

Kimberlee Banks Blaylock, P.A.-C

Physician Assistant · Winston Salem, NC

NPI number 1225024029 Active

Practice location

131 Miller St
Winston Salem, NC 27103-2508

Fax (336) 716-9841

Mailing address

Medical Center Blvd
Winston Salem, NC 27157-0001

Other practice locations

  • 329 Nc Highway 801 N, Bermuda Run, NC 27006-7905 · (336) 716-8200
  • 1950 S Hawthorne Rd, Winston Salem, NC 27103-3912 · (336) 718-8386
  • 170 Kimel Park Dr, Winston Salem, NC 27103-6946 · (336) 768-1270

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X0001-04141 (NC)
Physician Assistant Primary 363A00000X104141 (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 1225024029

Kimberlee Banks Blaylock, P.A.-C's National Provider Identifier is 1225024029, issued on Sep 27, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Winston Salem, NC. The record was last updated on Jan 30, 2026.