Individual
KEVIN A JULIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3301 GORDON DR, PETERSBURG, VA 23805-2600
(804) 338-8482
(804) 895-7877
Mailing address
3301 GORDON DR, PETERSBURG, VA 23805-2600
(804) 338-8482
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
100892602
VA
Other
Enumeration date
10/08/2024
Last updated
10/09/2024
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