Individual
KEVIN E BROYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1906 BELLEVIEW AVE SE, EMERGENCY DEPT, ROANOKE, VA 24014-1838
(540) 981-7000
(540) 981-9550
Mailing address
PO BOX 2080, KILMARNOCK, VA 22482-2080
(804) 435-3508
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0102201510
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010045924
—
VA
05
—
010045932
—
VA
05
—
010048729
—
VA
Enumeration date
06/12/2006
Last updated
05/20/2008
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