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KIMBERLY M. SPAN MD NPI 1336302454


NPI Information

NPI: 1336302454
Provider Name: KIMBERLY M. SPAN, MD
Classification: Internal Medicine - 207R00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
825 FAIRFAX AVE
SUITE 445
NORFOLK, VA
ZIP 23507
Phone: (757) 446-8920
Get Directions

Kimberly M. Span, MD is an internal medicine in Norfolk, VA with 17 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Kimberly M. Span, MD NPI is 1336302454. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: EASTERN VIRGINIA MEDICAL SCHOOL
Graduation Year:2007

The provider's business location address is:

825 FAIRFAX AVE
SUITE 445
NORFOLK, VA
ZIP 23507-914
Phone: (757) 446-8920
Fax: (757) 446-5242

The NPI 1336302454 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/9/2008 and was last updated on 10/16/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208M00000XHospitalist0101246307VIRGINIANo
2207R00000XInternal Medicine0101246307VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
110071693OTHERVIRGINIASENTARA/OPTIMA HEALTH
2PAROTHERVIRGINIAMULTIPLAN
31336302454MEDICAIDVIRGINIA
45916953MEDICAIDNORTH CAROLINA
5PAROTHERVIRGINIACORVEL/CORCARE
6PAROTHERVIRGINIAVIRGINIA PREMIER HEALTH PLAN
7PAROTHERVIRGINIAVIRGINIA HEALTH NETWORK
8-028OTHERVIRGINIATRICARE/CHAMPUS
9PAROTHERVIRGINIAUSA MANAGED CARE
10PAROTHERVIRGINIAUNITED HEALTHCARE
11PAROTHERVIRGINIACIGNA
12PAROTHERVIRGINIAAETNA
131336302454OTHERVIRGINIAFIRST HEALTH NETWORK/COVENTRY HEALTH
14422982OTHERVIRGINIAANTHEM BC/BS

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.