Individual
MR. KELVIN DEWAYNE HUNTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.A
Contact information
Practice address
2404 AIRLINE BLVD, PORTSMOUTH, VA 23701-2912
(757) 488-9161
Mailing address
2404 AIRLINE BLVD, PORTSMOUTH, VA 23701-2912
(757) 488-9161
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10100000X
—
VA
Enumeration date
03/11/2010
Last updated
03/11/2010
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