Individual
DR. KEVIN BIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
6515 GEORGE WASHINGTON MEM HWY STE 102, YORKTOWN, VA 23692-2182
(757) 856-5006
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002958
VA
Other
Enumeration date
11/16/2020
Last updated
12/10/2020
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