KEVIN R. DMYTRIW MD – NPI #1598768038
Family Medicine

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

KEVIN DMYTRIW is a physician located in COLONIAL HEIGHTS, VA. NPPES has assigned the NPI number 1598768038 to KEVIN DMYTRIW on May 28, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207QG0300X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Geriatric Medicine

The NPI profile was previously updated about 12 years ago on Aug 14, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KEVIN DMYTRIW below.

NPI Profile for
KEVIN R. DMYTRIW

NPI Number
1598768038
Enumeration Date

(more than 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KEVIN R. DMYTRIW
Credentials
MD
Primary location
524 SOUTHPARK BOULEVARD
JENCARE NEIGHBORHOOD MEDICAL SOUTH PARK, LLC
COLONIAL HEIGHTS, VA 23834
Phone: (804) 504-7980 Fax: (804) 504-7991
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QG0300X
- Family Medicine / Geriatric Medicine (Primary)
NJ 33539

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.