Valinsa Dionette Keys

Individual provider Active NPI Other Technician · Dutheld, VA

NPI 1861517880 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1861517880
Entity type
Individual (NPI type 1)
Primary specialty
Other Technician 247200000X
Practice address
1100 US Highway 58
Addington Hall
Dutheld, VA 24244
Phone
(276) 431-4371
Fax
(276) 431-2863
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X Yes

Addresses

Primary practice location

1100 US Highway 58
Addington Hall
Dutheld, VA 24244

Mailing address

PO Box 9054
Gray, TN 37615-9054
Phone (423) 467-3600

Sources for this page

Verify at the official NPI Registry.