Organization
KIRVEN ORTHOPEDIC GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELIX MOSES KIRVEN M.D. (PRESIDENT)
(757) 963-6507
Entity
Organization
Contact information
Practice address
5701 CLEVELAND STREET, SUITE 600, VIRGINIA BEACH, VA 23462
(757) 963-6507
(757) 963-6375
Mailing address
5701 CLEVELAND STREET, SUITE 600, VIRGINIA BEACH, VA 23462
(757) 963-6507
(757) 963-6375
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
0101054245
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010208874
—
VA
01
—
179191
ANTHEM
VA
01
—
45172
OPTIMA
VA
Enumeration date
12/12/2007
Last updated
10/06/2015
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