# CHESAPEAKE MEDICAL GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kilmarnock Primary Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821023151
- **Authorized official:** STEPHAN QUIRICONI (CFO)
- **Authorized official phone:** (804) 281-8301

## Contact information

- **Practice address:** 434 N MAIN STREET, KILMARNOCK, VA 22482
- **Practice address phone:** (804) 435-2651
- **Practice address fax:** (804) 435-2302
- **Mailing address:** 8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
- **Mailing address phone:** (804) 627-5462
- **Mailing address fax:** (866) 449-0896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/12/2006
- **Last updated:** 04/01/2019