Individual
KIM SCHOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-9222
(757) 668-7568
Mailing address
PO BOX 79137, BALTIMORE, MD 21279-0137
(757) 668-7200
(757) 668-9691
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101233358
VA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
0101233358
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010069718
—
VA
05
—
7906681
—
NC
Enumeration date
06/09/2006
Last updated
01/26/2010
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