Individual
KENNETH SILVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
200 MEDICAL PARK BLVD, PETERSBURG, VA 23805-9274
(757) 639-8356
Mailing address
14400 TOOLEY TER, CHESTER, VA 23831-6633
(804) 439-4886
(804) 768-6058
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
887
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
887
CERTIFIED SURGICAL ASSISTANT
VA
Enumeration date
07/26/2011
Last updated
04/19/2022
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