Provider Demographics
NPI:1275639411
Name:RHYMERS, KURT L (MD)
Entity Type:Individual
Prefix:
First Name:KURT
Middle Name:L
Last Name:RHYMERS
Suffix:
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 1:6116 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:703-644-2460
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:703-644-2460
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101030210207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA062428OtherANTHEM
VA0468148OtherAETNA HMO
VA202011845OtherCIGNA
VA4088749OtherAETNA PPO
VA6280480Medicaid
DC7960-001OtherBCBSNCA
VA062428OtherANTHEM
B94847Medicare UPIN