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NPI Code Detail

MEDICARE: DR. ANTHONY KIELER RICE JR. M.D.

MEDICARE: DR. ANTHONY KIELER RICE JR. M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician0101280653VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1C10269OTHERWVRAILROAD MEDICARE GROUP #

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00435953OTHERWVRAILROAD INDIVIDUAL #
31043214927OTHERWVNPI
40101280653OTHERVASTATE LICENSE

General Provider Information

NPI Number : 1043214927
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANTHONY KIELER RICE JR. M.D.
Provider Business Mailing Address
First Line : 3145 VIRGINIA BEACH BLVD STE 203
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23452-6950
Country : US
Telephone Number : 757-514-8999
Fax Number : 757-273-0756
Provider Business Practice Location Address
First Line : 3145 VIRGINIA BEACH BLVD STE 203
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23452-6950
Country : US
Telephone Number : 757-514-8999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 08/17/2024

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