Active NPIIndividual provider

Bertille Kuisso Ponkam

Health Educator in Winston Salem, North Carolina

NPI Number1265054779
Practice location
615 Saint George Square CT Ste 300, Winston Salem, NC 27103-1368
Fax
203-306-4040
Last updated
November 27, 2023

Bertille Kuisso Ponkam is a Health Educator based in Winston Salem, NC. Bertille Kuisso Ponkam practices in Winston Salem, NC. The NPI Number for Bertille Kuisso Ponkam is 1265054779. The current practice location address for Bertille Kuisso Ponkam is 615 Saint George Square CT Ste 300, Winston Salem, NC 27103-1368 and can be reached out via phone at 203-683-5946 and via fax at 203-306-4040.

Provider Profile Details

NPI Number
1265054779
Provider Name
Bertille Kuisso Ponkam
Provider Entity Type
Individual
Gender
Female
Address
615 Saint George Square CT Ste 300, Winston Salem, NC 27103-1368
Phone Number
203-683-5946
Fax Number
203-306-4040
Primary Taxonomy
Health Educator · 174H00000X
Sole Proprietor
No
Provider Enumeration Date
May 7, 2020
Last Update Date
November 27, 2023
Certification Date
July 20, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
615 Saint George Square CT Ste 300
Winston Salem, NC 27103-1368
Zip
27103-1368
Phone Number
203-683-5946
Fax Number
203-306-4040
Winston Salem, NC 27103Get directions →

Provider Business Mailing Address Details

Address
1000 Lafayette Blvd Ste 1100
Bridgeport, CT 06604-4710
City
Bridgeport
State
CT
Zip
06604-4710
Phone Number
203-683-5946
Fax Number
203-306-4040

License Information

Taxonomy
Health Educator · 174H00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bertille Kuisso Ponkam?

The NPI number of Bertille Kuisso Ponkam is 1265054779. It was assigned on May 7, 2020 and is currently active in the NPPES registry.

What is the specialty of Bertille Kuisso Ponkam?

Bertille Kuisso Ponkam is registered under the primary taxonomy Health Educator (code 174H00000X).

Where does Bertille Kuisso Ponkam practice?

The practice location is 615 Saint George Square CT Ste 300, Winston Salem, NC 27103-1368. The office can be reached at 203-683-5946 (phone) or 203-306-4040 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265054779 directly on the NPPES registry website.

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