NPI 1326468646

Kimberly Covell McInnis, OTDMSOTRL

Practitioner Specialist Roanoke, VA

Practice location

Address: 5649 Meadowcrest St, Roanoke, VA 24019-4833
Phone: (540) 556-2344

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 0119000248 (VA)

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Registry record

NPI: 1326468646
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Apr 2014
Record last updated: 25 Apr 2014

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.