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Individual

DR. KEVIN LEE CONOVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
9610 WARWICK BLVD, NEWPORT NEWS, VA 23601-4541
(757) 591-8834
(757) 591-2542
Mailing address
11015 WARWICK BLVD STE 100, NEWPORT NEWS, VA 23601-3225
(757) 591-8834
(757) 591-2542

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001663
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0005327269
AETNA
VA
01
32965
SENTARA
VA
01
381211
BLU CROSS BLUE SHIELD #
VA
05
9531211
VA
Enumeration date
08/14/2006
Last updated
04/17/2018
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