Fair, Kevaghn P.

Fair, Kevaghn P. is an individual health care provider with primary practice located at 733 Boush St Suite 200, Norfolk VA 23510-1501. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Dermatopathology is his primary health care specialty. Fair, Kevaghn P. can be contacted via phone (757) 664-7901.

Contact Information

Primary practice address
733 Boush St Suite 200 Norfolk VA 23510-1501
Phone: (757) 664-7901
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X 0102050191 Virginia
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 0102050191 Virginia

Profile Details

NPI number 1285694042
LBN Legal business name Fair, Kevaghn P.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Feb 11th, 2011 - 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 1285694042 NPPES
Virginia MEDICAID 4991427

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