Provider Demographics
NPI:1366548489
Name:KURT L RHYMERS MD PC
Entity type:Organization
Organization Name:KURT L RHYMERS MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KURT
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:RHYMERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-644-5822
Mailing Address - Street 1:6116 ROLLING RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22152-1521
Mailing Address - Country:US
Mailing Address - Phone:703-644-5822
Mailing Address - Fax:707-644-2460
Practice Address - Street 1:6116 ROLLING RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22152-1521
Practice Address - Country:US
Practice Address - Phone:703-644-5822
Practice Address - Fax:707-644-2460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2008-10-01
Deactivation Date:2008-06-20
Deactivation Code:
Reactivation Date:2008-10-01
Provider Licenses
StateLicense IDTaxonomies
VA0101030210207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty