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NPI Code Detail

MEDICARE: KEZIA MCNAIR

MEDICARE:   KEZIA  MCNAIR
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
1101YM0800XMental Health Counselor0704015528VA

General Provider Information

NPI Number : 1457161879
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEZIA MCNAIR
Provider Business Mailing Address
First Line : 209 BALD EAGLE WAY APT 108
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23322-2090
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1 ENTERPRISE PKWY STE 315
Second Line :
City : HAMPTON
State : VA
Zip : 23666-5845
Country : US
Telephone Number : 757-559-2736
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2025
Last Update Date : 01/08/2025

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Directions to “ KEZIA MCNAIR ” Practice Location

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