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NPI Code Detail

MEDICARE: DR. EDWARD N KITCES M.D., PH.D.

MEDICARE: DR. EDWARD N KITCES M.D., PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist0101027974VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11336142306OTHERVAUNITED HEALTHCARE
249D0227531OTHERVACLIA
3147955OTHERVASOUTHERN HEALTH
4453808OTHERVAANTHEM
554-1256850OTHERVAAETNA
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7027878OTHERVACIGNA
854-1256850OTHERVAGREAT WEST

General Provider Information

NPI Number : 1336142306
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDWARD N KITCES M.D., PH.D.
Provider Business Mailing Address
First Line : 9816 MAYLAND DR
Second Line : 100
City : RICHMOND
State : VA
Zip : 23233-1457
Country : US
Telephone Number : 804-282-8510
Fax Number : 804-285-5750
Provider Business Practice Location Address
First Line : 9816 MAYLAND DR
Second Line : 100
City : RICHMOND
State : VA
Zip : 23233-1457
Country : US
Telephone Number : 804-282-8510
Fax Number : 804-285-5750
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 02/06/2014

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Practice Location Address:
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1760421416 — MELISSA W. C. KING M.D.
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1508898420 — RICHMOND DERMATOLOGY SPECIALISTS
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1720008246 — MARGARET HITCHCOCK TERHUNE M.D.
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1568558625 — VICTORIA L GROSS MD
Practice Location Address:
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1083811426 — SUZANNE K PECK MD
Practice Location Address:
9816 MAYLAND DR , SUITE 100
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Practice Fax: 804-285-5750

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