Individual
DR. KERRY C PREWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
113 BULIFANTS BLVD STE A, WILLIAMSBURG, VA 23188-5719
(804) 520-1764
Mailing address
445 CHARLES H DIMMOCK PKWY STE 100, COLONIAL HEIGHTS, VA 23834-2990
(804) 520-1764
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101041337
VA
207RC0000X
Cardiovascular Disease Physician
D0057329
MD
207RI0011X
Interventional Cardiology Physician
0101041337
VA
207RI0011X
Interventional Cardiology Physician
D0057329
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255325254
—
VA
05
—
759502600
—
MD
Enumeration date
09/06/2005
Last updated
08/09/2025
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