Kenbridge Family Medicine Inc
Organization Active NPI Family Medicine Physician · Kenbridge, VA
NPI 1285688259 · NPPES record last updated Mar 25, 2013
Key facts
- NPI
- 1285688259
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- KENBRIDGE FAMILY MEDICINE INC
- Practice address
- 306 E 6TH Ave
Kenbridge, VA 23944-2050 - Phone
- (434) 676-8021
- Fax
- (434) 676-2390
- NPI assigned
- May 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Graham H. Powers III, MD
- Title
- President
- Phone
- (434) 676-8021
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | VA | Yes |
Addresses
Primary practice location
306 E 6TH Ave
Kenbridge, VA 23944-2050
Mailing address
306 E 6TH Ave
Kenbridge, VA 23944-2050
Phone (434) 676-8021
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CE7948 | Other | VA | RR MEDICARE |
| 5903037 | Other | VA | NC MEDICAID # |
Other providers in Kenbridge, VA
- Mikayla Sade' Cypress
- Epiphany II Unity House LLC
- Family Preservation Services, Inc
- Carroll Millard Gee Jr.
- Kenbridge Emergency Squad, Inc.
- Kenbridge Family Medicine Inc
- Sharon Brown Lyles
- MBHS of Kenbridge, LLC
- David W Michie
- Angela Charlene Moss
All providers in Kenbridge, VA · Family Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.