| The Comprehensive Care Center | |
|
550 First Colonial Road Suite 308 4651 Virginia Beach VA 23454-5664 | |
| (757) 769-0571 | |
| (757) 432-3199 |
| Full Name | The Comprehensive Care Center |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 550 First Colonial Road Suite 308, Virginia Beach, Virginia |
| Authorized Official Name and Position | Kenita Murray (OWNER) |
| Authorized Official Contact | 7577690157 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Comprehensive Care Center 550 First Colonial Rd Ste 308 Box 4561 Virginia Beach VA 23451-6186 Ph: (757) 769-0571 | The Comprehensive Care Center 550 First Colonial Road Suite 308 4651 Virginia Beach VA 23454-5664 Ph: (757) 769-0571 |
| NPI Number | 1023882263 |
|---|---|
| Provider Enumeration Date | 11/08/2023 |
| Last Update Date | 03/16/2024 |
| Certification Date | 01/29/2024 |
| Medicare PECOS PAC ID | 4486196151 |
|---|---|
| Medicare Enrollment ID | O20240610001387 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023882263 | NPI | - | NPPES |
| Provider Name | Kenita D Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437769627 PECOS PAC ID: 0244615839 Enrollment ID: I20220919000598 |
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