Individual
DR. KIMBERLY COVELL MCINNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, MS, OTR/L
Contact information
Practice address
5649 MEADOWCREST ST, ROANOKE, VA 24019-4833
(540) 556-2344
Mailing address
5649 MEADOWCREST ST, ROANOKE, VA 24019-4833
(540) 556-2344
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0119000248
VA
Other
Enumeration date
04/25/2014
Last updated
04/25/2014
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