Healthcare Provider Details

I. General information

NPI: 1336723683
Provider Name (Legal Business Name): DAVID KUCHER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2021
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 LAKE JAMES DR STE 200
VIRGINIA BEACH VA
23464-6780
US

IV. Provider business mailing address

1201 LAKE JAMES DR STE 200
VIRGINIA BEACH VA
23464-6780
US

V. Phone/Fax

Practice location:
  • Phone: 757-523-0022
  • Fax: 757-937-1326
Mailing address:
  • Phone: 757-523-0022
  • Fax: 757-937-1326

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0102209308
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: