Individual
KEVIN FRANCIS BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5716 CLEVELAND ST, SUITE 200, VIRGINIA BEACH, VA 23462-1784
(757) 502-8570
(757) 961-9767
Mailing address
5716 CLEVELAND ST, SUITE 200, VIRGINIA BEACH, VA 23462-1784
(757) 502-8570
(757) 961-9767
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101058724
VA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
0101058724
VA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
0101058724
VA
Other
Enumeration date
06/30/2006
Last updated
04/18/2023
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