Healthcare Provider Details

I. General information

NPI: 1710613807
Provider Name (Legal Business Name): CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2022
Last Update Date: 11/20/2024
Certification Date: 11/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5832 HARBOUR VIEW BLVD
SUFFOLK VA
23435-3875
US

IV. Provider business mailing address

601 CHILDRENS LN
NORFOLK VA
23507-1910
US

V. Phone/Fax

Practice location:
  • Phone: 757-668-4648
  • Fax:
Mailing address:
  • Phone: 757-668-9647
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC2000X
TaxonomyChildren's Hospital
License Number
License Number State

VIII. Authorized Official

Name: MRS. KATHRYN J ABSHIRE
Title or Position: CFO/SR VP
Credential:
Phone: 757-668-8565