Individual
DR. CALVIN HERBERT KIBWE SYDNOR IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM, FACFAS
Contact information
Practice address
1618 HARDY CASH DR, HAMPTON, VA 23666-2400
(757) 825-5783
(757) 825-9658
Mailing address
1618 HARDY CASH DR, HAMPTON, VA 23666-2400
(757) 825-5783
(757) 825-9658
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103000929
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009300481
—
VA
Enumeration date
04/28/2006
Last updated
04/16/2013
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