NPI Index

KEVIN DMYTRIW, MD

Family Medicine - Geriatric Medicine

Active Individual
NPI: 1598768038

Practice Address

524 SOUTHPARK BOULEVARD
JENCARE NEIGHBORHOOD MEDICAL SOUTH PARK, LLC
Colonial Heights, VA 23834

Phone: (804) 504-7980

Specialties

Specialty Code Primary License
Family Medicine - Geriatric Medicine 207QG0300X Yes 33539 (NJ)

Frequently Asked Questions

NPI 1598768038 is the National Provider Identifier for KEVIN DMYTRIW, MD, a Family Medicine - Geriatric Medicine provider located in Colonial Heights, VA. This NPI was enumerated on May 28, 2005.
KEVIN DMYTRIW, MD practices at 524 SOUTHPARK BOULEVARD, JENCARE NEIGHBORHOOD MEDICAL SOUTH PARK, LLC, Colonial Heights, VA 23834.

Quick Facts

NPI
1598768038
Type
Individual
Enumerated
May 28, 2005
Last Updated
Aug 14, 2014

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