Provider Demographics
NPI:1881199784
Name:KAYSER, DILLON (MD)
Entity Type:Individual
Prefix:
First Name:DILLON
Middle Name:
Last Name:KAYSER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 HANSEN RD STE 103
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911-8839
Mailing Address - Country:US
Mailing Address - Phone:434-218-0405
Mailing Address - Fax:434-296-1195
Practice Address - Street 1:154 HANSEN RD STE 103
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22911-8839
Practice Address - Country:US
Practice Address - Phone:434-218-0405
Practice Address - Fax:434-296-1195
Is Sole Proprietor?:No
Enumeration Date:2018-03-24
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
VA01012744362084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program