Organization
VIRGINIA VASCULAR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH M KRAKAUR (EXECUTIVE VICE PRESIDENT)
(757) 594-1031
Entity
Organization
Contact information
Practice address
1031 LOFTIS BLVD, NEWPORT NEWS, VA 23606-2981
(757) 594-1032
Mailing address
6015 POPLAR HALL DR STE 308, NORFOLK, VA 23502-3819
(757) 594-1032
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
05/02/2007
Last updated
08/22/2020
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