Most Relevant Information
Provider Data
| NPI Number: | 1003395948 |
| Provider Name: | KAILA HASKINS |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0200X |
| Specialty: | Nurse Practitioner |
| License Number: | 0024176493 |
Most Important Dates
| Enumeration Date: | 08/11/2018 |
| Last Updated: | 07/31/2024 |
Provider Practice Location
2085 FRONTIS PLAZA BLVD
WINSTON SALEM
NC
271035614
Practice Location Phone/Fax
| Phone: | 7043164136 |
| Fax: | 7044174814 |
Provider Mailing Location
PO BOX 604042
CHARLOTTE
NC
282604042
Provider Mailing Phone/Fax
| Phone: | 7043164136 |
| Fax: | 7044174814 |