Healthcare Provider Details

I. General information

NPI: 1740248525
Provider Name (Legal Business Name): WINCHESTER GASTROENTEROLOGY ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2006
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

190 CAMPUS BLVD SUITE 300
WINCHESTER VA
22601-2872
US

IV. Provider business mailing address

190 CAMPUS BLVD SUITE 300
WINCHESTER VA
22601-2872
US

V. Phone/Fax

Practice location:
  • Phone: 540-667-1244
  • Fax: 540-667-3086
Mailing address:
  • Phone: 540-667-1244
  • Fax: 540-667-3086

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State

VIII. Authorized Official

Name: LLEWELLYN I KITCHIN
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 540-667-1244