Provider Demographics
NPI:1275777062
Name:REINEKE-PIPER, KRISTEN ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:ANNE
Last Name:REINEKE-PIPER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3925 PORTSMOUTH BLVD
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-3624
Mailing Address - Country:US
Mailing Address - Phone:757-488-3333
Mailing Address - Fax:757-488-0007
Practice Address - Street 1:3925 PORTSMOUTH BLVD
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23321-3624
Practice Address - Country:US
Practice Address - Phone:757-488-3333
Practice Address - Fax:757-488-0007
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-24
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036130947207Q00000X
VA0101249710207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine