Garry Henry Kuiken, M.D.

Individual provider Active NPI Family Medicine Physician · Floyd, VA

NPI 1790745917 · NPPES record last updated Dec 7, 2020

Key facts

NPI
1790745917
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
0101027418 (VA)
Practice address
249 Franklin Pike SE
Floyd, VA 24091-2893
Phone
(540) 745-5700
Fax
(540) 745-5703
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101027418VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gibson Community Hospital Association Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101027418 VA Yes

Addresses

Primary practice location

249 Franklin Pike SE
Floyd, VA 24091-2893

Mailing address

249 Franklin Pike SE
Floyd, VA 24091-2893
Phone (540) 745-5700

Other identifiers

IdentifierTypeStateIssuer
005622247MedicaidVA

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address gkuiken10127@direct.carilionclinic.org Direct

Other providers in Floyd, VA

All providers in Floyd, VA · Family Medicine Physician in Virginia

Sources for this page

Verify at the official NPI Registry.