Harrison, Kevin Charles

Harrison, Kevin Charles is an individual health care provider with primary practice located at 9460 Amberdale Drive Suite C, Richmond VA 23236. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Harrison, Kevin Charles can be contacted via phone (804) 276-2470.

Contact Information

Primary practice address
9460 Amberdale Drive Suite C Richmond VA 23236
Phone: (804) 276-2470
Fax: (804) 276-2473
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0102201098 Virginia

Profile Details

NPI number 1073514238
LBN Legal business name Harrison, Kevin Charles
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Sep 30th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073514238 NPPES
Virginia Other 142999 ANTHEM PROVEDIER #

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