Provider Demographics
NPI:1326026659
Name:KUSKOWSKI, ANNE SINKS (MD FAAP)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:SINKS
Last Name:KUSKOWSKI
Suffix:
Gender:F
Credentials:MD FAAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:TRICARE PRIME CHESAPEAKE CLINIC
Mailing Address - Street 2:1400 CROSSWAYS BLVD
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320
Mailing Address - Country:US
Mailing Address - Phone:757-953-6366
Mailing Address - Fax:757-953-6329
Practice Address - Street 1:TRICARE PRIME CHESAPEAKE CLINIC
Practice Address - Street 2:1400 CROSSWAYS BLVD
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320
Practice Address - Country:US
Practice Address - Phone:757-953-6366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-06
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA49709208000000X
NC2010-01466208000000X
VA0101261899208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD11534508OtherCAQH NUMBER