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Organization

NORTH ROANOKE REHAB MED PC

Active
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Organization

NORTH ROANOKE REHAB MED PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AE-SIK KIM (PRESIDENT)
(540) 265-6710
Entity
Organization

Contact information

Practice address
5720 WILLIAMSON RD, SUITE 107, ROANOKE, VA 24012-1225
(540) 265-6710
(540) 265-6712
Mailing address
PO BOX 4127, ROANOKE, VA 24015-0127
(540) 344-9781
(540) 344-7154

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—

Other

Enumeration date
09/20/2006
Last updated
10/03/2007
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