Kevin Richard Dmytriw, MD

Individual provider Geriatric Medicine (Family Medicine) Physician · NPI 1598768038

Kevin Richard Dmytriw, MD is a Geriatric Medicine (Family Medicine) Physician in Colonial Heights, Virginia. Licensed in New Jersey. Registered with an NPI since 2005.

Licensed in: NJ
In the registry since: 2005

What do these letters mean?

MD — Doctor of Medicine: A physician who completed allopathic medical school.

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Practice location Address checks out

524 Southpark Boulevard Jencare Neighborhood Medical South Park Llc
Colonial Heights, VA 23834
Phone: (804) 504-7980
Fax: (804) 504-7991

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Family Medicine) Physician (primary)	Taxonomy 207QG0300X · Licence 33539 (NJ)

Record details

NPI number	1598768038
Entity type	Individual (Type 1)
Gender	Male
Credentials	MD
Sole proprietor	No
NPI enumerated	May 28, 2005
Last updated in NPPES	August 14, 2014