person
Dr. John G Kenerson, MD
Cardiovascular Disease Physician in Virginia Beach, Virginia
NPI 1932158649

John G Kenerson is a Cardiovascular Disease Physician based in Virgina Beach, VA and is specialized in Cardiovascular Disease. John G Kenerson practices in Virginia Beach, VA and has the professional credentials of MD. The NPI Number for John G Kenerson is 1932158649 and holds a License No. 0101034324 (Virginia).

The current practice location address for John G Kenerson is 1708 Old Donation Parkway, Virginia Beach, VA and can be reached out via phone at 757-395-5300 and via fax at 757-213-9341. You can also correspond with John G Kenerson through the mailing address at 5700 CLEVELAND STREET, VIRGINA BEACH, VA - 23462-1752 (mailing address contact number: 757-499-2825).

Location: 1708 Old Donation Parkway, Virginia Beach, VA, 23462-1752
person
Provider Profile Details
NPI Number
1932158649
Provider Name
John G Kenerson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1708 Old Donation Parkway, Virginia Beach, VA, 23462-1752
Phone Number
757-395-5300
Fax Number
757-213-9341
Provider Enumeration Date
05/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
-001 01 VA TRICARE/CHAMPUS
332623 01 VA ANTHEM BCBS
PAR 01 VA CIGNA
PAR 01 VA VIRGINIA HEALTH NETWORK
05912 01 NC BCBS
239706 01 VA ANTHEM
PAR 01 VA MULTIPLAN
428965 01 UHC/MAMSI
PAR 01 VA AETNA
1932158649 05 VA
006016359 05 VA
10011413 01 VA SHP OHP
PAR 01 VA VIRGINIA PREMIER HEALTH
8905912 05 NC
15573 01 VA OPTIMA/SENTARA
PAR 01 VA USA MANAGED CARE
PAR 01 VA CORVEL/CORCARE
PAR 01 VA FIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
institution
Provider Business Practice Location Address Details
Address
1708 Old Donation Parkway
City
State
Zip
23454-3064
Phone Number
757-395-5300
Fax Number
757-213-9341
person
Provider Business Mailing Address Details
Address
5700 Cleveland Street
City
State
Zip
23462-1752
Phone Number
757-499-2825
Fax Number
757-499-2825
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
License No.
0101034324 (Virginia)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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