Kevin Dmytriw, MD

NPI 1598768038 · on the registry since 2005

Practice

Address: 524 Southpark Boulevard
Jencare Neighborhood Medical South Park, Llc
Colonial Heights, VA 23834
Phone: (804) 504-7980
Fax: (804) 504-7991
Organisation at this address: Jencare Neighborhood Medical South Park Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 16

Registry record

Primary taxonomy: 207QG0300X
207QG0300X
Licence states on file: NJ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-08-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia