Broyles, Kevin E

Broyles, Kevin E is an individual health care provider with primary practice located at 1906 Belleview Ave Se Emergency Dept, Roanoke VA 24014-1838. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Broyles, Kevin E can be contacted via phone (540) 981-7000.

Contact Information

Primary practice address
1906 Belleview Ave Se Emergency Dept Roanoke VA 24014-1838
Phone: (540) 981-7000
Fax: (540) 981-9550
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0102201510 Virginia

Profile Details

NPI number 1073555348
LBN Legal business name Broyles, Kevin E
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated May 20th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073555348 NPPES
Virginia MEDICAID 010045924
Virginia MEDICAID 010048729
Virginia MEDICAID 010045932

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