NPI Code Details Logo

NPI 1760979967

NPI 1760979967 : LINDSAY KAY NOAH-VERMILLION DO : BLACKSBURG, VA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1760979967
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    LINDSAY KAY NOAH-VERMILLION DO
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/13/2018
-----------------------------------------------------
    Last Update Date     |    04/13/2018
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3700 S MAIN ST 
-----------------------------------------------------
    City                 |    BLACKSBURG
-----------------------------------------------------
    State                |    VA
-----------------------------------------------------
    Zip                  |    24060-7081
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    540-953-5461
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    6113 102ND ST SW 
-----------------------------------------------------
    City                 |    MUKILTEO
-----------------------------------------------------
    State                |    WA
-----------------------------------------------------
    Zip                  |    98275-4673
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    907-351-9811
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    390200000X
-----------------------------------------------------
    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.