Bedell, Kevin R

Bedell, Kevin R is an sole proprietor health care provider with primary practice located at 4622 Rochambeau Dr , Williamsburg VA 23188-7114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bedell, Kevin R can be contacted via phone (757) 566-4246.

Contact Information

Primary practice address
4622 Rochambeau Dr Williamsburg VA 23188-7114
Fax: (757) 566-4246
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101040494 Virginia

Profile Details

NPI number 1275594236
LBN Legal business name Bedell, Kevin R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2006
Last updated Sep 26th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275594236 NPPES
Virginia Other 356140 ANTHEM
Virginia MEDICAID 6055354 ANTHEM

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