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Individual

KEVIN SHANE GEIB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
136 LINDEN DR, SUITE 104, WINCHESTER, VA 22601-2818
(540) 678-3588
(540) 678-9025
Mailing address
148 LINDEN DR, SUITE 103, WINCHESTER, VA 22601-2818
(540) 722-0627
(540) 722-9533

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101052888
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010049695
VA
Enumeration date
06/23/2006
Last updated
07/08/2007
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