Individual
KELVIN B RAYBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
78 MEDICAL CENTER DR, FISHERSVILLE, VA 22939-2332
(540) 245-7102
(540) 332-5962
Mailing address
PO BOX 388, FISHERSVILLE, VA 22939-0388
(540) 245-7102
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0101263122
VA
207RH0003X
Hematology & Oncology Physician
16276
MS
207RH0003X
Hematology & Oncology Physician
2007-01858
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120939
—
MS
Enumeration date
07/28/2006
Last updated
04/18/2018
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