| Kairos Medical Consulting, Pllc | |
|
3000 Bethesda Pl Ste 104 Winston Salem NC 27103-3323 | |
| (336) 293-4107 | |
| (949) 577-4324 |
| Full Name | Kairos Medical Consulting, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3000 Bethesda Pl Ste 104, Winston Salem, North Carolina |
| Authorized Official Name and Position | Charles Dunham (CO-OWNER) |
| Authorized Official Contact | 3369095939 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kairos Medical Consulting, Pllc 3000 Bethesda Pl Ste 104 Winston Salem NC 27103-3323 Ph: (336) 293-4107 | Kairos Medical Consulting, Pllc 3000 Bethesda Pl Ste 104 Winston Salem NC 27103-3323 Ph: (336) 293-4107 |
| NPI Number | 1669011565 |
|---|---|
| Provider Enumeration Date | 12/26/2019 |
| Last Update Date | 09/07/2021 |
| Medicare PECOS PAC ID | 4183023104 |
|---|---|
| Medicare Enrollment ID | O20210525001196 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669011565 | NPI | - | NPPES |
| 256596 | Other | NC | NC MEDICAL BOARD PROFESSIONAL CORPORATION CERTIFICATE |
| Provider Name | Charles Dunham |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1346268745 PECOS PAC ID: 6002906971 Enrollment ID: I20071214000657 |
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