Individual
TIMOTHY MICHAEL KEARNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4701 VIRGINIA BEACH BLVD STE 210, VIRGINIA BEACH, VA 23462-7790
(757) 702-8110
Mailing address
4701 VIRGINIA BEACH BLVD STE 210, VIRGINIA BEACH, VA 23462-7790
(757) 702-8110
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0110840624
VA
363A00000X
Physician Assistant
Primary
0110840624
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
278252
ANTHEM
—
01
—
59848581
TRICARE
VA
Enumeration date
07/18/2006
Last updated
09/16/2025
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