Individual
MR. KIM NOEL SKILLEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
546 PELL AVENUE, ROCKY MOUNT, VA 24151
(540) 483-7620
(540) 483-7739
Mailing address
546 PELL AVENUE, ROCKY MOUNT, VA 24151
(540) 483-7620
(540) 483-7739
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001373
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260654
ANTHEM
VA
01
—
5900064
AETNA
VA
Enumeration date
04/03/2006
Last updated
07/08/2007
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