Individual
DR. SUSAN P KILMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
3618 BRAMBLETON AVE, SUITE D, ROANOKE, VA 24018-3659
(540) 989-4584
(540) 725-5396
Mailing address
3618 BRAMBLETON AVE, SUITE D, ROANOKE, VA 24018-3659
(540) 989-4584
(540) 725-5396
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001025
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
281220
ANTHEM BLUE CROSS
VA
01
—
4565063
AETNA
VA
01
—
613468
ACN GROUP
VA
01
—
64377
SOUTHERN HEALTH
VA
Enumeration date
01/02/2007
Last updated
07/08/2007
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