MEDICARE: TIGIST C KENNEY RN, BSN

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	347E00000X	Transportation Broker		VA
2	343900000X	Non-emergency Medical Transport (VAN)		VA

General Provider Information

NPI Number	:	1922869767
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIGIST C KENNEY RN, BSN

Provider Business Mailing Address
First Line	:	1 COLUMBUS CTR STE 600
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-6760
Country	:	US
Telephone Number	:	757-798-3600
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 COLUMBUS CTR STE 600
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-6760
Country	:	US
Telephone Number	:	757-798-3600
Fax Number	:

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

Provider Enumeration Date	:	01/18/2024
Last Update Date	:	04/20/2026

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