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).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
4550 Lee Hwy Ste B, Dublin, VA 240843802 | 5406744560 |
Street Address |
4550 LEE HWY STE B |
City | DUBLIN |
State | VA |
Zip Code | 24084-3802 |
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 |
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 |
Find all providers in zip 24084 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
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. |
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 |
Find all providers in DUBLIN |
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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.