Individual
KEVIN ITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
600 GRESHAM DR STE 304, NORFOLK, VA 23507-1904
(757) 388-3397
Mailing address
735 FAIRFAX AVE STE 1017C, NORFOLK, VA 23507-2007
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
VA
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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