Kevin E Broyles D.O.

NPI 1073555348 - Emergency Medicine - 207P00000X

NPI Details
NPI 1073555348
Gender Male
Enumeration Date 06/12/2006
Last Updated 05/20/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
ROANOKE VA, 24014-1838, US
Phone (540) 981-7000
Fax (540) 981-9550
Business Location
PO BOX 2080
KILMARNOCK VA, 22482-2080, US
Phone (804) 435-3508
Taxonomy Code 207P00000X
License State Virginia
License Number 0102201510
Remove 1073555348 NPI Number

According to our database, Kevin E Broyles D.O. NPI is 1073555348, taxonomy code is 207P00000X and license number is 0102201510, license state is located at Virginia. Kevin E Broyles D.O. physically located at 1906 Belleview Ave Se, Roanoke VA, 24014-1838. NPI Number Kevin E Broyles D.O. has the Individual type.

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1073555348 NPI number is provided on an as is basis without warranty of any kind. 1073555348 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin E Broyles D.O. are for informational purposes only.