Provider Demographics
NPI:1710560107
Name:PAWLOWSKI, KRISTEN DANIELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:DANIELLE
Last Name:PAWLOWSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:KRISTEN
Other - Middle Name:
Other - Last Name:RAUE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:144 ARROW GLENN CT
Mailing Address - Street 2:
Mailing Address - City:ADVANCE
Mailing Address - State:NC
Mailing Address - Zip Code:27006-7396
Mailing Address - Country:US
Mailing Address - Phone:248-202-1623
Mailing Address - Fax:
Practice Address - Street 1:1 MEDICAL CENTER BLVD
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27157-3806
Practice Address - Country:US
Practice Address - Phone:336-716-4081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-03
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program