Organization · Type 2 NPI

Tidewater Kidney Specialists, Inc.

Nephrology Physician · Norfolk, VA

NPI number 1053678839 Active

Practice location

814 Kempsville Rd, Suite 101
Norfolk, VA 23502-4001

Call (757) 623-0005 Map

Fax (757) 548-1129

Mailing address

4445 Corporation Ln Ste 100
Virginia Beach, VA 23462-3666

Specialties and licenses

Taxonomy	Code	License
Nephrology Physician Primary	207RN0300X	None listed
Vascular & Interventional Radiology Physician	2085R0204X	None listed
Vascular Surgery Physician	2086S0129X	None listed

Nephrology Physician: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

4 other providers at this address

Other nephrology physician providers in Norfolk

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NPI record

NPI: 1053678839
Entity type: Organization (Type 2)
Issued: Apr 18, 2012
Last updated: Jan 20, 2022
Status: Active

Other names

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Tidewater Vascular Access Center · doing business as
Tidewater Vascular Access Center · doing business as

Authorized official

Mrs. Elizabeth F Skidmore
Practice Administrator
(757) 623-0005

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1053678839

Tidewater Kidney Specialists, Inc.'s National Provider Identifier is 1053678839, issued on Apr 18, 2012. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Norfolk, VA. The record was last updated on Jan 20, 2022.