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Individual

DR. KEVIN F DUCEY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2001 CRYSTAL SPRING AVE SW, STE 201, ROANOKE, VA 24014-2462
(540) 344-5781
(540) 342-9308
Mailing address
2001 CRYSTAL SPRING AVE SW, STE 201, ROANOKE, VA 24014-2462
(540) 344-5781
(540) 342-9308

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
0101033205
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7421826
VA
Enumeration date
11/16/2005
Last updated
07/08/2007
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