Individual
KEVIN WAYNE HYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
680 OYSTER POINT RD, NEWPORT NEWS, VA 23606-4570
(757) 668-4851
Mailing address
825 FAIRFAX AVE, NORFOLK, VA 23507-1912
(757) 618-8545
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110009485
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Enumeration date
12/23/2022
Last updated
10/21/2023
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