Individual
ANNIKA KEZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4024 GLEN RD, VIRGINIA BEACH, VA 23452-2602
(757) 537-5114
Mailing address
4024 GLEN RD, VIRGINIA BEACH, VA 23452-2602
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HID174M53590
ANTHEM BLUE CROSS
VA
Enumeration date
05/17/2021
Last updated
05/17/2021
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