Individual provider · Type 1 NPI

Kevin Ito

Student in an Organized Health Care Education/Training Program · Norfolk, VA

NPI number 1720929045 Active

Practice location

600 Gresham Dr Ste 304
Norfolk, VA 23507-1904

Call (757) 388-3397 Map

Mailing address

735 Fairfax Ave Ste 1017C
Norfolk, VA 23507-2007

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1720929045

Kevin Ito's National Provider Identifier is 1720929045, issued on Apr 2, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Norfolk, VA. The record was last updated on Apr 2, 2026.