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NPI Code Detail

MEDICARE: DRS. IVES & KNOWLES, INC.

MEDICARE: DRS. IVES & KNOWLES, INC.
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
1174400000XSpecialist

General Provider Information

NPI Number : 1861490468
Entity Type Code : Organization
Provider Name (Legal Business Name) : DRS. IVES & KNOWLES, INC.
Provider Business Mailing Address
First Line : 160 KINGSLEY LN
Second Line : SUITE 400
City : NORFOLK
State : VA
Zip : 23505-4600
Country : US
Telephone Number : 757-889-6500
Fax Number :
Provider Business Practice Location Address
First Line : 160 KINGSLEY LN
Second Line : SUITE 400
City : NORFOLK
State : VA
Zip : 23505-4600
Country : US
Telephone Number : 757-889-6500
Fax Number :
Authorized Official
Title or Position : PRACTICE MANAGER
Name : KAREN BRADLEY
Credential :
Telephone Number : 757-889-4715
Provider Enumeration Date : 07/08/2005
Last Update Date : 08/15/2008

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Directions to “DRS. IVES & KNOWLES, INC. ” Practice Location

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