Provider Demographics
NPI:1831934363
Name:VETERAN FAMILY MEDICINE LLC
Entity type:Organization
Organization Name:VETERAN FAMILY MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:KIELER
Authorized Official - Last Name:RICE
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:757-514-8999
Mailing Address - Street 1:3145 VIRGINIA BEACH BLVD STE 203
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-6950
Mailing Address - Country:US
Mailing Address - Phone:757-514-8999
Mailing Address - Fax:757-273-0756
Practice Address - Street 1:3145 VIRGINIA BEACH BLVD STE 203
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-6950
Practice Address - Country:US
Practice Address - Phone:757-514-8999
Practice Address - Fax:757-273-0756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-26
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty