MRS. Kimberlee Banks Blaylock, P.A.-C

NPI #1225024029 in Winston Salem, North Carolina

Provider Information

NPI Number: 1225024029
Entity Type: Individual
Name: MRS. Kimberlee Banks Blaylock, P.A.-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.-C
Enumeration Date: Sep 27, 2005
Last Updated: Jan 30, 2026

Practice Location

Address: 131 MILLER ST
City: Winston Salem
State: North Carolina
ZIP Code: 27103-2508
Phone: (336) 716-8200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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