Individual
KAREN D RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2897 BRIDGE RD, SUFFOLK, VA 23435-1799
(757) 484-7248
(757) 484-8316
Mailing address
2897 BRIDGE RD, SUFFOLK, VA 23435-1799
(757) 484-7248
(757) 484-8316
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101058087
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5626293
—
VA
Enumeration date
04/13/2006
Last updated
02/20/2012
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