Individual
DR. TIMOTHY L KROHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
PRIMARY CARE CLINIC 2/PACT M, 1970 ROANOKE BLVD, SALEM, VA 24153
(540) 982-2463
(540) 224-1958
Mailing address
1050 WINDRIDGE PKWY, HARDY, VA 24101-3383
(410) 207-4293
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101260854
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
644051700
—
MD
Enumeration date
08/10/2005
Last updated
11/01/2021
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