Individual
SUSAN KIM-FOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
713 VOLVO PKWY, STE 100, CHESAPEAKE, VA 23320-1614
(757) 548-0076
(757) 548-1652
Mailing address
3241 WESTERN BRANCH BLVD, CHESAPEAKE, VA 23321-5260
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101054091
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005604486
—
VA
01
—
11073
SENTARA/OPTIMA
VA
01
—
142918
ANTHEM
VA
01
—
4493819
AETNA
VA
01
—
541595397
VIRGINIA HEALTH NETWORK
VA
Enumeration date
02/14/2006
Last updated
04/12/2010
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