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Individual

DR. KEVIN EUGENE JEFFERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
6323 GEORGIA AVE NW, SUITE 202, WASHINGTON, DC 20011-1101
(202) 882-9682
(202) 882-4983
Mailing address
PO BOX 55980, WASHINGTON, DC 20040-5980
(202) 882-9682
(202) 882-4983

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO587
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
027002300
DC
Enumeration date
09/30/2006
Last updated
02/08/2013
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