Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Nicole Rebkovich

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1194082602

Kelly Nicole Rebkovich is a Family Practice in Dublin, Virginia. Qualified in 2012, 14 years ago. Practices with Free Clinic of the New River Valley Inc, a 15-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
14
Licensed in
VA
In the registry since
2012
Specialties on file
2

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Dublin, VA

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0102203985 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1194082602
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 20, 2012
Last updated in NPPESJanuary 31, 2022
Certification dateJanuary 9, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Free Clinic Of The New River Valley Inc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare