Individual
MR. KEVIN MICHAEL WEMYSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
700 24TH ST, FORT LEE, VA 23801-1716
(804) 734-9226
(804) 734-9562
Mailing address
700 24TH ST, FORT LEE, VA 23801-1716
(804) 734-9226
(804) 734-9562
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110005570
VA
363A00000X
Physician Assistant
1066163
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000335800
—
FL
Enumeration date
10/18/2005
Last updated
06/05/2023
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