# RPK CENTER FOR REHAB, SPINE & PAIN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093778110
- **Authorized official:** DR. DAVID KISHBAUGH D.O. (MANAGER-MEMBER/OWNER)
- **Authorized official phone:** (910) 486-8880

## Contact information

- **Practice address:** 2109 VALLEYGATE DRIVE, SUITE 201, FAYETTEVILLE, NC 28304
- **Practice address phone:** (910) 486-8880
- **Practice address fax:** (910) 486-8886
- **Mailing address:** 2109 VALLEYGATE DRIVE, SUITE 201, FAYETTEVILLE, NC 28304
- **Mailing address phone:** (910) 486-8880
- **Mailing address fax:** (910) 486-8886

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/10/2006
- **Last updated:** 12/08/2011