Individual
DR. KENNETH BRIAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
813 INDEPENDENCE BLVD STE 111, VIRGINIA BEACH, VA 23455-6004
(757) 301-7729
(757) 301-7837
Mailing address
860 OMNI BLVD STE 101, NEWPORT NEWS, VA 23606-4430
(757) 232-8769
(757) 232-8875
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101045376
VA
Other
Enumeration date
06/05/2006
Last updated
03/29/2021
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