KEVIN K CHARLES

INTEGRATED DERMATOLOGY OF TIDEWATER LLC

Dr KEVIN K CHARLES is a male medical professional, specializing in Physician Assistant. He graduated in 2000 from University Of Nebraska College Of Medicine.

Contact

INTEGRATED DERMATOLOGY OF TIDEWATER LLC

885 KEMPSVILLE RD
SUITE 309
NORFOLK
VA
235023800

Tel: 7574611033

KEVIN K CHARLES Information

Npi 1275739435
Pac Id 1658468723
Professional Enrollment Id I20071106000644
Last Name CHARLES
First Name KEVIN
Middle Name K
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduation Year 2000
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name INTEGRATED DERMATOLOGY OF TIDEWATER LLC
Group Practice Pac Id 8325277031
Number Of Group Practice Members 6
Line 1 Street Address 885 KEMPSVILLE RD
Line 2 Street Address SUITE 309
Marker Of Address Line 2 Suppression
City NORFOLK
State VA
Zip Code 235023800
Phone Number 7574611033
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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