Individual
KEVIN B BOUNDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1815 COLONIAL MEDICAL CT, VIRGINIA BEACH, VA 23454-3034
(757) 496-7373
(757) 496-7336
Mailing address
1815 COLONIAL MEDICAL CT, VIRGINIA BEACH, VA 23454-3034
(757) 496-7373
(757) 496-7336
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
0101043805
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54-1548377
FEDERAL TAX ID
—
Enumeration date
01/29/2007
Last updated
11/02/2010
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