Individual
KENT LEE REIFSCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7237
(757) 668-8215
Mailing address
811 REDGATE AVE, NORFOLK, VA 23507-1515
(757) 668-7475
(757) 668-8658
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
0101244483
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235631
—
SC
01
—
576007863094
BCBS
SC
Enumeration date
05/17/2007
Last updated
02/19/2019
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