# MIDLOTHIAN PRIMARY CARE, LTD.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811942931
- **Authorized official:** DR. KEVIN ACHILLE KELLER M.D. (PRESIDENT)
- **Authorized official phone:** (804) 744-6700

## Contact information

- **Practice address:** 5001 W VILLAGE GREEN DR, SUITE 205, MIDLOTHIAN, VA 23112-4801
- **Practice address phone:** (804) 744-6700
- **Practice address fax:** (804) 744-2047
- **Mailing address:** 5001 W VILLAGE GREEN DR, SUITE 205, MIDLOTHIAN, VA 23112-4801
- **Mailing address phone:** (804) 744-6700
- **Mailing address fax:** (804) 744-2047

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0101038159 | VA | Yes |

## Other

- **Enumeration date:** 05/24/2006
- **Last updated:** 10/31/2008