Kenbridge Family Medicine Inc

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

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

Jun 5, 2006

Last updated

Mar 25, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Graham H Powers III, MD

Title

President

Phone

(434) 676-8021

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364169600000",
    "number": "1760421010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 E 6TH AVE",
            "city": "KENBRIDGE",
            "state": "VA",
            "postal_code": "239442050",
            "telephone_number": "434-676-8021",
            "fax_number": "434-676-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E 6TH AVE",
            "city": "KENBRIDGE",
            "state": "VA",
            "postal_code": "239442050",
            "telephone_number": "434-676-8021",
            "fax_number": "434-676-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENBRIDGE FAMILY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2013-03-25",
        "status": "A",
        "authorized_official_last_name": "POWERS III",
        "authorized_official_first_name": "GRAHAM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-676-8021",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007610874",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Epiphany II Unity House LLC
• Family Preservation Services, Inc
• Carroll Millard Gee Jr., DDS
• Kenbridge Emergency Squad, Inc.
• Kenbridge Family Medicine Inc
• Sharon Brown Lyles, ED.D.
• MBHS of Kenbridge, LLC (Kenbridge Youth Academy)
• David W Michie, MD
• Angela Charlene Moss, RN,BSN,QMHP
• Nocturnal Science and Sound Temple

• Rural Health Clinic/Center in Kenbridge, VA
• Providers in Kenbridge, VA by specialty
• Rural Health Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.