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Individual

DR. KIRK W HEATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1120 FIRST COLONIAL RD, SUITE 203, VIRGINIA BEACH, VA 23454-2418
(757) 481-4424
(757) 481-3820
Mailing address
1120 FIRST COLONIAL RD, SUITE 203, VIRGINIA BEACH, VA 23454-2418
(757) 481-4424
(757) 481-3820

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
0101241891
VA
208600000X
Surgery Physician
Primary
0101241891
VA
208600000X
Surgery Physician
2015-02245
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1184838286
VA
01
2169343
UNITED HEALTHCARE
01
7841936
AETNA
01
8948166
CIGNA
01
P00602477
RAILROAD MEDICARE
Enumeration date
05/09/2007
Last updated
03/17/2018
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