Healthcare Provider Details

I. General information

NPI: 1023022795
Provider Name (Legal Business Name): MARCIA ANN KUHN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 01/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 CHILDRENS LN
NORFOLK VA
23507-1910
US

IV. Provider business mailing address

PO BOX 741593 CHILDRENS SURGICAL SPECIALTY GROUP INC
ATLANTA GA
30374-1593
US

V. Phone/Fax

Practice location:
  • Phone: 757-668-7703
  • Fax: 757-668-8860
Mailing address:
  • Phone: 757-668-7703
  • Fax: 757-668-8860

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License Number0101237950
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: