Individual
KENNETH DANIEL MCMANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
736 BATTLEFIELD BLVD N, EMERGENCY DEPARTMENT, CHESAPEAKE, VA 23320
(757) 312-6200
(757) 312-6181
Mailing address
109 G GAINSBOROUGH SQUARE, BOX 723, CHESAPEAKE, VA 23320
(757) 490-9388
(757) 490-9401
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0102204630
VA
Other
Enumeration date
03/14/2012
Last updated
11/22/2024
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