Organization
MIDLOTHIAN PRIMARY CARE, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN ACHILLE KELLER M.D. (PRESIDENT)
(804) 744-6700
Entity
Organization
Contact information
Practice address
5001 W VILLAGE GREEN DR, SUITE 205, MIDLOTHIAN, VA 23112-4801
(804) 744-6700
(804) 744-2047
Mailing address
5001 W VILLAGE GREEN DR, SUITE 205, MIDLOTHIAN, VA 23112-4801
(804) 744-6700
(804) 744-2047
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101038159
VA
Other
Enumeration date
05/24/2006
Last updated
10/31/2008
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