Individual
KEVIN IAN MACINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7 NEALY BLVD, HAMPTON, VA 23665-2023
(757) 764-6497
Mailing address
320 COLONY TRL, LANEXA, VA 23089-6004
(757) 764-6497
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202204173
VA
Other
Enumeration date
05/02/2007
Last updated
08/04/2008
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