Organization
PENINSULA KIDNEY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWANA L DAVIS (ADMINISTRATOR)
(757) 251-7469
Entity
Organization
Contact information
Practice address
501 BUTLER FARM RD, SUITE I, HAMPTON, VA 23666-1564
(757) 251-7469
(757) 251-7470
Mailing address
501 BUTLER FARM RD, SUITE I, HAMPTON, VA 23666-1777
(757) 251-7469
(757) 251-7470
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750436531
—
VA
Enumeration date
01/24/2007
Last updated
06/02/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us