Vitaly Kishinyovsky
Family Doctor
2145 Mount Pleasant Blvd Se
Roanoke
, Virginia 24014-3632
Vitaly Kishinyovsky
Family Doctor
2145 Mount Pleasant Blvd Se
Roanoke
, Virginia 24014-3632
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Vitaly Kishinyovsky
- 2145 Mount Pleasant Blvd Se
- Roanoke, VA
- Zip : 24014-3632
- Phone :
Second Address
- Vitaly Kishinyovsky
- 2145 Mount Pleasant Blvd Se
- Roanoke, VA
- Zip : 24014-3632
- Phone : (540) 427-9200
Reviews
FAQs
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In what state does Vitaly Kishinyovsky practice in?
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Is Vitaly Kishinyovsky a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 116020178 | VA |
National Provider Identifier
| NPI | 1003076456 |
|---|---|
| Provider Name | Vitaly Kishinyovsky |
| First Address | Roanoke, VA 24014-3632 |
| Second Address | Roanoke, VA 24014-3632 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/06/2008 |
| Last Update Date | 10/06/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.