Individual
DR. MICHELLE ELIZABETH KINGSBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1020 INDEPENDENCE BLVD, #103, VIRGINIA BEACH, VA 23455-5500
(757) 460-2171
(757) 460-3708
Mailing address
3241 WESTERN BRANCH BLVD, CHESAPEAKE, VA 23321-5260
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101047049
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-003
CHAMPUS (EVMS HEALTH SERVICES)
VA
01
—
1669473260
COVENTRY HEALTH/SOUTHERN HEALTH NETWORKS
VA
05
—
1669473260
—
VA
01
—
447041
ANTHEM BC/BS (PORTSMOUTH FAMILY MEDICINE)
VA
05
—
5645697
—
VA
05
—
89066F3
—
NC
01
—
PAR
CORVEL (EVMS HEALTH SERVICES)
VA
Enumeration date
08/03/2005
Last updated
01/11/2012
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