Individual
KIMBERLY J DUNNAVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
650 N JEFFERSON ST, ROANOKE, VA 24016-1427
(405) 345-5111
Mailing address
650 N JEFFERSON ST, ROANOKE, VA 24016-1427
(405) 345-5111
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2305207808
VA
225100000X
Physical Therapist
PT 003932
OH
Other
Enumeration date
04/26/2010
Last updated
08/10/2024
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