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Individual

DR. KIRSTIN FIONA DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5544 GREENWICH RD STE 200, VIRGINIA BEACH, VA 23462-6563
(757) 466-0089
(757) 466-8017
Mailing address
5544 GREENWICH RD STE 200, VIRGINIA BEACH, VA 23462-6563
(757) 466-0089
(757) 466-8017

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101058465
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010000220
VA
01
139178
BCBS
VA
01
66641
SENTARA
VA
05
89066JM
NC
01
P00109781
RR MEDICARE
VA
Enumeration date
12/01/2005
Last updated
02/07/2014
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