Individual provider · NPI-1

Kevin Baiko

Family Medicine · Norfolk, VA

NPI number1952461246
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1952461246
Entity type
Individual (NPI-1)
Name
Kevin Baiko
Sex
Male
Sole proprietor
No
Enumeration date
Dec 9, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine0101057855VAYes

Practice location

1035 Nider Blvd
Suite 100
Norfolk, VA 23521-2701

Phone 757-314-7301

Mailing address

801 Volvo Pkwy
Suite 109-144
Chesapeake, VA 23320-2811

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