| Riverside Primary Care Kiln Creek | |
|
209 Village Ave Ste P Yorktown VA 23693-5639 | |
| (757) 316-5050 | |
| Not Available |
| Full Name | Riverside Primary Care Kiln Creek |
|---|---|
| Speciality | Family Medicine |
| Location | 209 Village Ave Ste P, Yorktown, Virginia |
| Authorized Official Name and Position | Braden Miller (CFO) |
| Authorized Official Contact | 7573165900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Primary Care Kiln Creek 856 J Clyde Morris Blvd Ste A Newport News VA 23601-1318 Ph: (757) 316-5900 | Riverside Primary Care Kiln Creek 209 Village Ave Ste P Yorktown VA 23693-5639 Ph: (757) 316-5050 |
| NPI Number | 1467962662 |
|---|---|
| Provider Enumeration Date | 10/03/2017 |
| Last Update Date | 10/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467962662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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