Provider Demographics
NPI:1902868060
Name:SALKEY, KIMBERLY S (MD)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:S
Last Name:SALKEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:A
Other - Last Name:SCOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 91734
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23291-1734
Mailing Address - Country:US
Mailing Address - Phone:804-358-6100
Mailing Address - Fax:804-342-7619
Practice Address - Street 1:401 N 11TH ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23219-1901
Practice Address - Country:US
Practice Address - Phone:804-828-9595
Practice Address - Fax:804-828-9596
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0116014597207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010621E30Medicare PIN
VAI59549Medicare UPIN
VAP00416311Medicare PIN
VA2148334OtherUHC/MAMSI
VA307693OtherANTHEM - FAIRFAX
VAPAROtherMULTIPLAN
VAPAROtherFIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
VAPAROtherVIRGINIA PREMIER HEALTH
VA010621E30Medicare PIN
VA10009220OtherSENTARA
VAPAROtherAETNA
VAI59549Medicare UPIN
VAPAROtherUSA MANAGED CARE
NC05657OtherBC/BS
VA307266OtherANTHEM - GLENN MITCHELL
VA010341906Medicaid
VA-005OtherTRICARE/CHAMPUS
VAPAROtherVIRGINIA HEALTH NETWORK
VAP00416311Medicare PIN