Healthcare Provider Details

I. General information

NPI: 1831069111
Provider Name (Legal Business Name): KALISHA E COX RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/11/2025
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2025 GLENN MITCHELL DR
VIRGINIA BEACH VA
23456-0178
US

IV. Provider business mailing address

3541 REGRET LN
VIRGINIA BEACH VA
23453-2266
US

V. Phone/Fax

Practice location:
  • Phone: 757-507-1123
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number0001260674
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: