Individual
KEVIN R BEDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4622 ROCHAMBEAU DR, WILLIAMSBURG, VA 23188-7114
(757) 566-4246
(757) 566-4246
Mailing address
4622 ROCHAMBEAU DRIVE, WILLIAMSBURG, VA 23188
(757) 566-4246
(757) 566-4248
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101040494
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
356140
ANTHEM
VA
05
—
6055354
—
VA
Enumeration date
03/30/2006
Last updated
09/26/2012
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