Individual
MR. KEVIN ELEAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN, RN, PCCN
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(434) 924-3627
Mailing address
2237 WOODBURN RD, CHARLOTTESVILLE, VA 22901-8112
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001330305
VA
Other
Enumeration date
10/31/2025
Last updated
10/31/2025
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