National Provider Identifier Database

KEVIN R DMYTRIW, MD – NPI #1598768038
Geriatric Medicine

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.


Contact Information

KEVIN R DMYTRIW, MD
524 SOUTHPARK BOULEVARD
JENCARE NEIGHBORHOOD MEDICAL SOUTH PARK, LLC
COLONIAL HEIGHTS, VA23834
Phone: 804-504-7980
Fax: 804-504-7991
Website:
Specialty Taxonomy Code
* Geriatric Medicine 207QG0300X

* Indicates primary specialty

NPI Profile & details for KEVIN R DMYTRIW

NPI Number 1598768038
Credentials MD
Entity Individual
Enumeration date 05/28/2005
Last updated 08/14/2014 - About 12 years ago
Sole proprietor1 No
Identifiers
  • NJ License #: 33539
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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