Individual
KENNETH MICHAEL GUIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
190 CAMPUS BLVD, SUITE 201, WINCHESTER, VA 22601
(540) 662-0306
(540) 542-1843
Mailing address
190 CAMPUS BLVD, SUITE 201, WINCHESTER, VA 22601
(540) 662-0306
(540) 542-1843
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110-001547
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922019892
—
VA
01
—
P00656349
RAILROAD MEDICARE
—
Enumeration date
08/10/2006
Last updated
02/11/2009
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