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Individual

DR. KENNETH ARTHUR DEGIORGIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
3809 PRINCESS ANNE RD STE 117, VIRGINIA BEACH, VA 23456-1900
(757) 471-9008
(757) 965-6256
Mailing address
3192 WINTERBERRY LN, VIRGINIA BEACH, VA 23453-5952

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001829
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
102595
ANTHEM PROVIDER NUMBER
VA
01
3651805
CIGNA PROVIDER NUMBER
VA
01
4400151
UNITEDHEALTHCARE PROVIDER
VA
01
5698700
AETNA PROVIDER NUMBER
VA
Enumeration date
12/15/2006
Last updated
07/08/2007
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