| NPI | 1700042876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BRENT KIMBLE Chiropractor 540-667-8508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: VA 0104556427) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2012-12-12 |