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CHESTER PEDIATRICS NPI 1649398462


NPI Information

NPI: 1649398462
Provider Name: CHESTER PEDIATRICS
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

CLIA Number: 49D0230875

Address:
4707 BUCKINGHAM CT
CHESTER, VA
ZIP 23831
Phone: (804) 796-2300
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CHESTER PEDIATRICS is an adolescent medicine pediatrics in Chester, VA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. CHESTER PEDIATRICS NPI is 1649398462. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4707 BUCKINGHAM CT
CHESTER, VA
ZIP 23831-261
Phone: (804) 796-2300
Fax: (804) 751-4815

The provider's authorized official is Kevin Michael Campbell .
The authorized official title is President and has the following contact phone number (804) 796-2300.

The CLIA number assigned to this NPI record is 49D0230875 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080A0000XPediatricsAdolescent MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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