Individual
DR. KENNETH JOHN ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 E LEIGH ST, RICHMOND, VA 23298-5004
(804) 828-3060
(804) 288-5222
Mailing address
304 BAY COLONY DR, VIRGINIA BEACH, VA 23451-3818
(757) 613-7300
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
0101266620
VA
208200000X
Plastic Surgery Physician
046706
GA
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
0101266620
VA
208600000X
Surgery Physician
0101266620
VA
2086S0122X
Plastic and Reconstructive Surgery Physician
0101266620
VA
Other
Enumeration date
11/29/2006
Last updated
12/10/2024
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