Individual
KURT A. MCCAMMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 CLEARFIELD AVE, VIRGINIA BEACH, VA 23462-1815
(757) 457-5110
(757) 466-3411
Mailing address
225 CLEARFIELD AVE, VIRGINIA BEACH, VA 23462-1815
(757) 457-5110
(757) 466-3411
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
0101057382
VA
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Primary
0101057382
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007502419
—
VA
01
—
13766
SENTARA HEALTHCARE
VA
01
—
1598743692
ANTHEM
VA
01
—
394266
ANTHEM BC BS
VA
Enumeration date
01/09/2006
Last updated
03/15/2016
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