Organization
CHESAPEAKE HOSPITAL CORPORATION
Active
Other names
Bon Secours Kilmarnock Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHAN QUIRICONI (CFO)
(804) 281-8301
Entity
Organization
Contact information
Practice address
402 N MAIN ST, KILMARNOCK, VA 22482
(804) 435-2651
(804) 435-2302
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(804) 627-5573
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/12/2018
Last updated
05/30/2019
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