Individual provider · Type 1 NPI

Theodore Prins Kistemaker, PA-C

Physician Assistant · Winston Salem, NC

NPI number 1770523557 Active

Practice location

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

Call (336) 765-5250 Map

Fax (336) 659-0953

Mailing address

1701 Westchester Dr, Ste 850
High Point, NC 27262-7008

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X103628 (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 1770523557

Theodore Prins Kistemaker, PA-C's National Provider Identifier is 1770523557, issued on Jun 8, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Winston Salem, NC. The record was last updated on Apr 28, 2014.