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Individual

DR. EDWARD KEVIN MAYBURY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1562 MITSCHER AVE STE 250, NORFOLK, VA 23551-2423
(904) 655-0866
Mailing address
1562 MITSCHER AVE STE 250, NORFOLK, VA 23551-2423

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/07/2023
Last updated
06/10/2025
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