Provider Demographics
NPI:1578561841
Name:RAND, WILLIAM KENAN III (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:KENAN
Last Name:RAND
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1304 WINDSOR POINT RD
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23509-1312
Mailing Address - Country:US
Mailing Address - Phone:757-857-7222
Mailing Address - Fax:
Practice Address - Street 1:824 GREENBRIER PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-3697
Practice Address - Country:US
Practice Address - Phone:757-410-7390
Practice Address - Fax:757-410-7395
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101034084207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAB07341Medicare UPIN
VA00W068W01Medicare ID - Type Unspecified