Individual
DR. KEVIN MAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7400 HERITAGE VILLAGE PLZ, SUITE 101, GAINESVILLE, VA 20155-3308
(703) 753-5599
(703) 753-7599
Mailing address
PO BOX 4505, SONORA, CA 95370-1505
(703) 618-1630
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001523
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VV3096A
PTAN
VA
Enumeration date
10/04/2006
Last updated
08/14/2021
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