Provider Demographics
NPI:1184220287
Name:KUCHMANER, VICTOR ANTHONY (HAS)
Entity Type:Individual
Prefix:MR
First Name:VICTOR
Middle Name:ANTHONY
Last Name:KUCHMANER
Suffix:
Gender:M
Credentials:HAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 N WITCHDUCK RD STE 103
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-1947
Mailing Address - Country:US
Mailing Address - Phone:757-222-5991
Mailing Address - Fax:833-687-8324
Practice Address - Street 1:490 CARATOKE HWY
Practice Address - Street 2:
Practice Address - City:MOYOCK
Practice Address - State:NC
Practice Address - Zip Code:27958-8672
Practice Address - Country:US
Practice Address - Phone:252-435-6001
Practice Address - Fax:833-687-8324
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-05
Last Update Date:2020-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1566237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist