Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN RICHARD DMYTRIW, MD
ActiveKEVIN RICHARD DMYTRIW, MD is a Geriatric Medicine healthcare provider located in COLONIAL HEIGHTS, Virginia. NPI 1598768038 is currently active in the NPPES registry. Verify at CMS.
Geriatric Medicine · COLONIAL HEIGHTS, VA
Registration Details
- NPI Number
- 1598768038
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 28, 2005 (21.240466376015 yrs)
- Last Updated
- Aug 14, 2014
- License
-
33539 (NJ)
Practice Information
- Address
-
524 SOUTHPARK BOULEVARDJENCARE NEIGHBORHOOD MEDICAL SOUTH PARK, LLCCOLONIAL HEIGHTS, VA, 23834Browse VA providers · Browse ZIP 23834
- Phone
- 8045047980
- Fax
- 8045047991
- Primary Specialty
-
Geriatric Medicine
207QG0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.