Organization
KEN J TOMPKINS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH J TOMPKINS MD (OWNER)
(757) 467-3900
Entity
Organization
Contact information
Practice address
5249 PROVIDENCE ROAD, VIRGINIA BEACH, VA 23464
(757) 467-3900
(757) 467-3158
Mailing address
5249 PROVIDENCE ROAD, VIRGINIA BEACH, VA 23464
(757) 467-3900
(757) 467-3158
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005901898
—
VA
01
—
CK5559
RAILROAD MEDICARE
VA
Enumeration date
10/26/2006
Last updated
12/31/2008
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