MEDICARE: KRISTIN DEANNE RAMSEY D.O.

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
1	207Q00000X	Family Medicine Physician	0116023969	VA
2	207Q00000X	Family Medicine Physician	0102203378	VA

General Provider Information

NPI Number	:	1659645059
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTIN DEANNE RAMSEY D.O.

Provider Business Mailing Address
First Line	:	PO BOX 7068
Second Line	:
City	:	PORTSMOUTH
State	:	VA
Zip	:	23707-0068
Country	:	US
Telephone Number	:	757-410-4488
Fax Number	:	757-410-4450

Provider Business Practice Location Address
First Line	:	1024 BATTLEFIELD BLVD S
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23322-4215
Country	:	US
Telephone Number	:	757-410-4488
Fax Number	:	757-410-4450

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2012
Last Update Date	:	11/05/2020

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