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Individual

DR. KEVIN JAMES NOREIKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1401 JOHNSTON WILLIS DR, RICHMOND, VA 23235-4730
(804) 330-2277
Mailing address
10805 BALLENTINE LN, GLEN ALLEN, VA 23059-8027
(804) 658-3002

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0102202343
VA
207P00000X
Emergency Medicine Physician
994
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1023117660
VA
01
114708
BLUE CROSS BLUE SHIELD
VA
Enumeration date
09/21/2006
Last updated
11/17/2010
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