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KEVIN RICHARD DMYTRIW MD
NPI 1598768038
Family Medicine - Geriatric Medicine in Colonial Heights, VA

Active since May 28, 2005
524 SOUTHPARK BOULEVARD, JENCARE NEIGHBORHOOD MEDICAL SOUTH PARK, LLC, COLONIAL HEIGHTS, VA 23834(804) 504-7980(804) 504-7991 Get Directions Write a Review

NPPES record last updated: August 14, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevin Richard Dmytriw Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN RICHARD DMYTRIW MD (NPI 1598768038) is an individual geriatric medicine provider in Colonial Heights, Virginia, licensed in New Jersey (33539) and active in the NPI registry since May 2005.

NPPES Registry Identity

NPI1598768038
Entity TypeIndividualMale
Primary Taxonomy207QG0300X
Provider Legal NameKEVIN RICHARD DMYTRIWCredential: MD
Location Address524 SOUTHPARK BOULEVARD, JENCARE NEIGHBORHOOD MEDICAL SOUTH PARK, LLCColonial Heights, VA 23834
Mailing Address524 Southpark Boulevard, Jencare Neighborhood Medical South Park, LlcColonial Heights, VA 23834 · (804) 504-7980 · Fax (804) 504-7991
Phone(804) 504-7980
Fax(804) 504-7991
Sole ProprietorNo
Enumeration DateMay 28, 2005
Last NPPES UpdateAugust 14, 2014
✔ NPI 1598768038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in NJ · 33539
Definition
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.
524 SOUTHPARK BOULEVARD, Colonial Heights, VA 23834
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LUTHER L. WRIGHT JR. M.D.,M.SC.,MT(ASCP)
Internal Medicine
524 SOUTHPARK BOULEVARD, JENCARE NEIGHBORHOOD MEDICAL SOUTH PARK, LLC
COLONIAL HEIGHTS, VA 23834
Colonial Heights City (804) 504-7980

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Dmytriw's NPI number?

The NPI number for Kevin Dmytriw is 1598768038. It was assigned to this individual provider in the NPPES registry on May 28, 2005.

Where is Kevin Dmytriw located?

Kevin Dmytriw practices at 524 Southpark Boulevard Jencare Neighborhood Medical South Park, LLC, Colonial Heights, VA 23834. The listed phone number is (804) 504-7980.

What is Kevin Dmytriw's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

When was this NPI record last updated?

The NPPES record for Kevin Dmytriw was last updated on August 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.