Dmytriw, Kevin Richard

Dmytriw, Kevin Richard is an individual health care provider with primary practice located at 524 Southpark Boulevard Jencare Neighborhood Medical South Park, Llc, Colonial Heights VA 23834. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Dmytriw, Kevin Richard can be contacted via phone (804) 504-7980.

Contact Information

Primary practice address
524 Southpark Boulevard Jencare Neighborhood Medical South Park, Llc Colonial Heights VA 23834
Phone: (804) 504-7980
Fax: (804) 504-7991
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 33539 New Jersey

Profile Details

NPI number 1598768038
LBN Legal business name Dmytriw, Kevin Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2005
Last updated Aug 14th, 2014 - about 10 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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