Individual
DR. EILEEN C KITCES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.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
0101028959
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134566
SOUTHERN HEALTH
VA
01
—
1598767808
UNITED HEALTHCARE
VA
01
—
212036
CIGNA
VA
01
—
258638
ANTHEM
VA
01
—
49D0227531
CLIA
VA
01
—
54-1256850
AETNA
VA
05
—
5905991
—
VA
Enumeration date
06/01/2005
Last updated
02/06/2014
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