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:
Health care specialties
Specialty | Code | License # | 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 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1285694042 | NPPES |
Virginia | MEDICAID | 4991427 |
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