Individual
KELLY NICOLE REBKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4550 LEE HWY STE B, DUBLIN, VA 24084-3802
(540) 674-4560
Mailing address
388 BEN BOLT AVE, TAZEWELL, VA 24651-5386
(276) 988-8850
(276) 988-6050
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102203985
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2012
Last updated
01/31/2022
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