Provider Demographics
NPI:1003817552
Name:KIME, ROBERT C III (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:C
Last Name:KIME
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4165 QUARLES CT
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:28801-3576
Mailing Address - Country:US
Mailing Address - Phone:540-434-1664
Mailing Address - Fax:540-437-0052
Practice Address - Street 1:4165 QUARLES CT
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:28801-3576
Practice Address - Country:US
Practice Address - Phone:540-434-1664
Practice Address - Fax:540-437-0052
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101059083207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
688842OtherCIGNA
326640OtherANTHEM
VA006407064Medicaid
366452OtherCIGNA
366452OtherCIGNA
VA0636510001Medicare NSC
688842OtherCIGNA