Organization
SENTARA MEDICAL GROUP
Active
Other names
Carrillo Kern Center for Integrative Therapies
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS PRINCE (DIRECTOR)
(757) 983-5475
Entity
Organization
Contact information
Practice address
6251 E VIRGINIA BEACH BLVD STE 401, NORFOLK, VA 23502-2824
(757) 624-0240
(757) 756-5154
Mailing address
6251 E VIRGINIA BEACH BLVD STE 401, NORFOLK, VA 23502-2824
(757) 624-0240
(757) 756-5154
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
163WD0400X
Diabetes Educator Registered Nurse
—
—
163WM1400X
Nurse Massage Therapist (NMT)
—
—
171100000X
Acupuncturist
—
—
174400000X
Specialist
—
—
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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