Healthcare Provider Details

I. General information

NPI: 1023512001
Provider Name (Legal Business Name): KEVIN ARTHUR VOLKEMA DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2018
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 10TH ST NE
CHARLOTTESVILLE VA
22902-5316
US

IV. Provider business mailing address

PO BOX 746550
ATLANTA GA
30374-6550
US

V. Phone/Fax

Practice location:
  • Phone: 434-654-1950
  • Fax: 434-977-9808
Mailing address:
  • Phone: 888-236-2263
  • Fax: 757-390-4551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0102207049
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number036155049
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: