Individual
JOHN W KIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1451 HOSPITAL DR, FREDERICKSBURG, VA 22401-8424
(540) 785-7810
(540) 786-3099
Mailing address
PO BOX 745462, ATLANTA, GA 30374-5462
(540) 786-2100
(540) 786-0677
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101237887
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000593674
AETNA CAP
VA
01
—
0101237887
LICENSE
VA
05
—
010163323
—
VA
01
—
178521
ANTHEM
VA
01
—
3780363
AETNA HMO
VA
01
—
7417660
AETNA NON HMO
VA
01
—
8133869
MAMSI
VA
01
—
CA9037
MCR RAILROAD GROUP
VA
01
—
CO2375
MEDICARE GROUP
VA
Enumeration date
01/19/2006
Last updated
05/15/2020
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