Keyonna Sturdivant, is a
Student In An Organized Health Care Education/training Program based in Winston Salem, North Carolina. Keyonna Sturdivant is licensed to practice in * (Not Available) (license number ) and her current practice location is
601 S Martin Luther King Jr Dr Fl 432, Winston Salem, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(336) 750-3177.
NPI number for Keyonna Sturdivant is 1790390631 and her current mailing address is 601 S Martin Luther King Dr, Winston Salem, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790390631.
Healthcare Provider's Profile
| Full Name | Keyonna Sturdivant |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 601 S Martin Luther King Jr Dr Fl 432, Winston Salem, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1790390631
- Provider Enumeration Date: 09/08/2020
- Last Update Date: 09/08/2020
Medical Identifiers
Medical identifiers for Keyonna Sturdivant such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790390631 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keyonna Sturdivant is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Keyonna Sturdivant,
601 S Martin Luther King Dr,
Winston Salem, NC 27110-0001
Ph: () - | Keyonna Sturdivant,
601 S Martin Luther King Jr Dr Fl 432,
Winston Salem, NC 27110-0003
Ph: (336) 750-3177 |
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