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Organization
MOUNTAIN VIEW EAR NOSE AND THROAT
Active
Organization
MOUNTAIN VIEW EAR NOSE AND THROAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY DAWN KERNS (OFFICE MANAGER)
(540) 542-1995
Entity
Organization
Contact information
Practice address
112 MEDICAL CIR, WINCHESTER, VA 22601-3322
(540) 542-1995
(540) 542-1996
Mailing address
112 MEDICAL CIR, WINCHESTER, VA 22601-3322
(540) 542-1995
(540) 542-1996
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101034967
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006503586
—
VA
01
—
013390M89
MEDICARE ID
—
05
—
1306873906
—
WV
Enumeration date
07/18/2006
Last updated
03/10/2011
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