Provider Demographics
NPI:1972615524
Name:ROHR, KIM TOVE (DC)
Entity Type:Individual
Prefix:DR
First Name:KIM
Middle Name:TOVE
Last Name:ROHR
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1902
Mailing Address - Street 2:
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34697-1902
Mailing Address - Country:US
Mailing Address - Phone:727-736-3961
Mailing Address - Fax:727-738-0287
Practice Address - Street 1:602 SKINNER BLVD
Practice Address - Street 2:
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-5843
Practice Address - Country:US
Practice Address - Phone:727-736-3961
Practice Address - Fax:727-738-0287
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7141111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU62358Medicare UPIN
FL55455Medicare ID - Type Unspecified