Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 0101256569 | VA |
NPI | 1548381866 |
---|---|
Provider Name | Timothy T. Kyin |
First Address | Charlottesville, VA 22906-9007 |
Second Address | Charlottesville, VA 22903-9353 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2007 |
Last Update Date | 30/09/2020 |