Individual
MR. LARRY HOWARD KAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1016 JUSTIS ST, CHESAPEAKE, VA 23325
(757) 420-8297
(757) 523-5639
Mailing address
1016 JUSTIS ST, CHESAPEAKE, VA 23325
(757) 420-8297
(757) 523-5639
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101032171
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011785
ANTHEM
—
01
—
11018
SENTARA
—
05
—
5619165
—
VA
Enumeration date
07/28/2006
Last updated
07/08/2014
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