Individual
JEAN-MARIE KAKUBUDIA MPOY KANYINDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 E PRINCESS ANNE RD, NORFOLK, VA 23504-2732
(757) 626-1642
(757) 626-1971
Mailing address
6917 CATHERINE ST, NORFOLK, VA 23505-4306
(757) 388-9925
(757) 793-4145
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101254723
VA
207R00000X
Internal Medicine Physician
95307
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F3629
—
NM
Enumeration date
07/26/2006
Last updated
04/27/2025
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