NPI 1194082602

Kelly Nicole Rebkovich

Practitioner Family Medicine Physician Dublin, VA

Practice location

Address: 4550 Lee Hwy STE B, Dublin, VA 24084-3802
Phone: (540) 674-4560
Mailing address: 388 Ben Bolt Ave, Tazewell, VA 24651-5386

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 0102203985 (VA)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1194082602
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Apr 2012
Record last updated: 31 Jan 2022

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.