Individual
DR. DEREK KEGYEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13800 HULL STREET RD, MIDLOTHIAN, VA 23112-2002
(804) 739-2198
Mailing address
13800 HULL STREET RD, MIDLOTHIAN, VA 23112-2002
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202218461
VA
Other
Enumeration date
11/17/2020
Last updated
01/08/2021
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