Kevin Richard Dmytriw, MD
NPI #1598768038 in Colonial Heights, Virginia
Provider Information
- NPI Number
- 1598768038
- Entity Type
- Individual
- Name
- Kevin Richard Dmytriw, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine - Geriatric Medicine
- Credential
- MD
- Enumeration Date
- May 28, 2005
- Last Updated
- Aug 14, 2014
Practice Location
- Address
- 524 SOUTHPARK BOULEVARD
- Address 2
- JENCARE NEIGHBORHOOD MEDICAL SOUTH PARK, LLC
- City
- Colonial Heights
- State
- Virginia
- ZIP Code
- 23834
- Phone
- (804) 504-7980
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Geriatric Medicine — Geriatric Medicine |
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