Individual
MR. KEVIN WITTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
231 HICKORY RD, KENBRIDGE, VA 23944-3503
(434) 676-1375
(434) 676-1391
Mailing address
231 HICKORY RD, KENBRIDGE, VA 23944-3503
(434) 676-1375
(434) 676-1391
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
1993451570
VA
Other
Enumeration date
11/15/2013
Last updated
11/15/2013
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