Individual
KAWIKA M TERUKINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1775 FORRESTAL DR, NORFOLK, VA 23551-4600
(757) 836-1552
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
207Q00000X
Family Medicine Physician
Primary
0101266428
VA
208D00000X
General Practice Physician
Primary
0101266428
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
MILITARY
FL
01
—
390200000X
MILITARY
—
Enumeration date
06/04/2007
Last updated
02/26/2026
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