Individual provider · Type 1 NPI

Kellie Preslar Koontz, NP

Nurse Practitioner · Winston Salem, NC

NPI number 1255989943 Active

Practice location

1200 N Martin Luther King Jr Dr
Winston Salem, NC 27101-3006

Fax (336) 713-9641

Mailing address

Medical Center Blvd
Winston Salem, NC 27157-0001

Other practice locations

  • 245 Charlois Blvd, Winston Salem, NC 27103-1507 · (336) 659-4777

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5012173 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1255989943

Kellie Preslar Koontz, NP's National Provider Identifier is 1255989943, issued on Aug 27, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Winston Salem, NC. The record was last updated on Jan 27, 2023.