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Individual

DR. EDWARD N KITCES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
9816 MAYLAND DR, 100, RICHMOND, VA 23233-1457
(804) 282-8510
(804) 285-5750
Mailing address
9816 MAYLAND DR, 100, RICHMOND, VA 23233-1457
(804) 282-8510
(804) 285-5750

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101027974
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
027878
CIGNA
VA
01
1336142306
UNITED HEALTHCARE
VA
01
147955
SOUTHERN HEALTH
VA
01
453808
ANTHEM
VA
01
49D0227531
CLIA
VA
01
54-1256850
AETNA
VA
05
5901243
VA
Enumeration date
05/24/2005
Last updated
02/06/2014
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