Provider Demographics
NPI:1447208517
Name:VOSS, MARY KIM (MD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:KIM
Last Name:VOSS
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Gender:F
Credentials:MD
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Mailing Address - Street 1:100 EMANCIPATION DR
Mailing Address - Street 2:DEPARTMENT OF MEDICINE
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23667-0001
Mailing Address - Country:US
Mailing Address - Phone:757-722-9961
Mailing Address - Fax:757-595-2646
Practice Address - Street 1:100 EMANCIPATION DR
Practice Address - Street 2:DEPARTMENT OF MEDICINE
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23667-0001
Practice Address - Country:US
Practice Address - Phone:757-722-9961
Practice Address - Fax:757-595-2646
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-04
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
VA0101033016207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine