Wal-Mart Stores East LP

Practice location

Address

1035 Beesons Field Dr, Kernersville, NC 27284-9962

Phone

(336) 904-4003

Mailing address

702 SW 8th St Mailstop 0445, Bentonville, AR 72716-0445

Authorised official

Name

Kimberly Canonic

Title

Senior Director, Enrollment

Phone

(480) 277-6348

Registered specialties (2)

Registry record

NPI

1205246808

Entity type

Organization

NPI issued

5 May 2014

Record last updated

10 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.