KELLY NICOLE REBKOVICH


Address: 4550 Lee Hwy Ste B, Dublin, VA 24084-3802
Phone: 5406744560

KELLY NICOLE REBKOVICH (NPI# 1194082602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194082602
Entity Type Individual
Full Name KELLY NICOLE REBKOVICH
Practice Address 4550 Lee Hwy Ste B
Dublin
VA 24084-3802
Mailing Address 388 Ben Bolt Ave
Tazewell
VA 24651-5386
Practice Telephone 5406744560
Mailing Telephone 2769888850
Mailing Fax Number 2769886050
Enumeration Date 2012-04-20
Last Update Date 2020-01-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 0102203985 VA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
4550 Lee Hwy Ste B, Dublin, VA 240843802 5406744560

Office Location

Street Address 4550 LEE HWY STE B
City DUBLIN
State VA
Zip Code 24084-3802

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588198949 Caleb Vass Family Medicine 4550 Lee Hwy Ste B, Dublin, VA 24084-3802 2017-04-12
1285175521 Teri Rene Mccormick-goodhart Physician Assistant 4550 Lee Hwy Ste B, Dublin, VA 24084-3820 2017-03-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609356518 Pain Management Centers of Southwest Virginia Physical Medicine & Rehabilitation 30-31 Town Center Drive, Dublin, VA 24084 2018-08-20
1063902633 Family Preservation Services Inc Community/Behavioral Health 600 Dublap Road, Dublin, VA 24084 2018-05-18
1770719486 Knotresha Floreth Stewart Internal Medicine 28 Town Center Drive, Dublin, VA 24084 2009-06-09
1124299110 Harvey Dentistry Nrv, PC Clinic/Center 4664 Lee Hwy, Dublin, VA 24084 2008-03-18
1427244821 W Matthew Skewes Md PC Internal Medicine 112 Broad St, Dublin, VA 24084 2007-09-19
1588863955 Charles Eric Berry Physical Therapy Assistant 5286 Alexander Road, Heartland Rehabilitation Services of Virginia Inc, Dublin, VA 24084 2007-07-16
1326116120 Dublin Pharmacy Pharmacy 703 Broad St., Dublin, VA 24084 2006-12-01
1851498398 Childrens Choice, P.C. Pediatrics 5562 Cougar Trail Road, Dublin, VA 24084 2006-09-19
1811008485 Laura Kay Miear Occupational Therapist 5286 Alexander Rd, Heartland Rehabilitation Services, Dublin, VA 24084 2006-08-31
1003920281 Joseph Charles Holmes Jr. Dentist 254 W. Main St., Dublin, VA 24084 2006-08-18
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588277669 Sarah Elizabeth Ruth Wilcox Family Medicine 3146 Grange Hill Pl, Dublin, OH 43017-1794 2020-08-28
1780218479 Optimal Health Medical Clinic Inc Family Medicine 7050 Dublin Blvd, Dublin, CA 94568-3017 2020-03-03
1184187791 Home Visit Care, LLC Family Medicine 5110 Silver Woods Ln, Dublin, OH 43016-7073 2019-04-10
1851862403 Physicians Wellness Group LLC Family Medicine 6275 Emerald Parkway, Dublin, OH 43016 2018-12-07
1831505759 Health & Wellness Medical Center Family Medicine 5050 Blazer Pkwy Ste 101, Dublin, OH 43017-3361 2014-07-11
1942649108 James Worthy Gahman Family Medicine 6227 Donegan Way, Dublin, OH 43016-6172 2013-06-21
1053756163 Nicole Kornder Family Medicine 3900 Stoneridge Ln Ste C, Dublin, OH 43017-2289 2013-05-02
1386900470 Margaret Moonhyung Lee Family Medicine 7450 Hospital Dr Ste 4500, Dublin, OH 43016-9693 2012-04-03
1508176389 David Earl Stanley Family Medicine 7765 Crawley Dr, Dublin, OH 43017-8820 2010-10-14
1720240682 Zuhair Ahmed Abualrihy Family Medicine 4679 Tuttles Woods Dr, Dublin, OH 43016-6247 2008-07-01
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Competitor

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City DUBLIN
Zip Code 24084

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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