Provider Demographics
NPI:1235550054
Name:KYERE, BELINDA KYEIWAH
Entity Type:Individual
Prefix:MISS
First Name:BELINDA
Middle Name:KYEIWAH
Last Name:KYERE
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:BELINDA
Other - Middle Name:KYEIWAH
Other - Last Name:KYERE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:MEDICAL CENTER BLVD
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27157-0001
Mailing Address - Country:US
Mailing Address - Phone:336-716-2255
Mailing Address - Fax:
Practice Address - Street 1:WAKE FOREST UNIVERSITY BAPTIST HOSPITAL
Practice Address - Street 2:PULMONARY/CRITICAL CARE 2ND FL WATLINGTON,
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27157-0001
Practice Address - Country:US
Practice Address - Phone:336-716-8898
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-20
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5006673363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1235550054Medicaid
NC18459OtherBCBS
NCQNP240OtherSC MEDICAID
NC4064509OtherAETNA
NC1235550054OtherTRICARE
NC276229OtherMEDCOST
NC1235550054OtherVIRGINIA MEDICAID
NC3845161OtherUHC
NC18459OtherBCBS