DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. KIMBERLEE BANKS BLAYLOCK, P.A.-C

Active

MRS. KIMBERLEE BANKS BLAYLOCK, P.A.-C is a Physician Assistant healthcare provider located in WINSTON SALEM, North Carolina. NPI 1225024029 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · WINSTON SALEM, NC

Registration Details

NPI Number
1225024029
Provider Type
Individual
Gender
Female
NPI Issued
Sep 27, 2005 (20.843175465218 yrs)
Last Updated
Jan 30, 2026
Licenses
0001-04141 (NC)
104141 (NC)

Practice Information

Address
131 MILLER ST
WINSTON SALEM, NC, 271032508
Browse NC providers · Browse ZIP 27103
Phone
3367168200
Fax
3367169841
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in WINSTON SALEM, NC

Name Credential NPI
MARILYN KAY MULLANE PA-C 1821091547
MS. JOY LISA CSIKOS PA-C 1700880440
DENNIS GEORGE LERIS PA-C 1629074323
RYAN ANGUS MCDONALD PA-C 1972503449
WILBERT C DILLARD PAC 1932191145
EMILY SARTAIN EPLING PAC 1295718997
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.