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Individual

DR. CONSTANCE M KEVORKIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
171 KEMPSVILLE RD, BUILDING B, NORFOLK, VA 23502-4700
(757) 668-6500
Mailing address
171 KEMPSVILLE RD, BUILDING B, NORFOLK, VA 23502-4700
(757) 668-6500

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101034274
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
006700861
VA PREMIER
01
13609
OPTIMA
01
233007
MDIPA/MAMSI
01
330031
ANTHEM
01
541778786001
TRICARE
05
890610Q
NC
Enumeration date
06/04/2006
Last updated
01/04/2013
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