Whalio Doctors

NPI 1003076456

Vitaly Kishinyovsky, MD

Practitioner Family Medicine Physician Roanoke, VA

Practice location

Address
2145 Mount Pleasant Blvd SE, Roanoke, VA 24014-3632
Phone
(540) 427-9200

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 116020178 (VA)

Registry record

NPI
1003076456
Entity type
Individual
Sex (as registered)
Male
NPI issued
10 Jun 2008
Record last updated
10 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.