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Contact Information

KEITH R BOND, PA
2827 LYNDHURST AVE
SUITE 203
WINSTON-SALEM, NC27103-4145
 Phone: 336-794-8624
 Fax: 336-231-8845
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KEITH R BOND · (Male)

NPI # 1902219447
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 06/03/2014
Last updated 08/02/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 0010-05133
Hospital affiliation(s)
  • FORSYTH MEMORIAL HOSPITAL - (Acute Care)
    3333 SILAS CREEK PARKWAY
    WINSTON-SALEM, NC 27103
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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