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KENANVILLE SURGICAL CLINIC
NPI 1821370321
Surgery in Chesapeake, VA

Active since September 12, 2011
109 WIMBLEDON SQ STE C, CHESAPEAKE, VA 23320(757) 436-3630 Get Directions Write a Review

NPPES record last updated: September 12, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenanville Surgical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENANVILLE SURGICAL CLINIC (NPI 1821370321) is a healthcare organization registered as a surgery in Chesapeake, Virginia and active in the NPI registry since September 2011. The organization lists Mohib N.i. Ghobrial, Owner, as its authorized official.

NPPES Registry Identity

NPI1821370321
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameKENANVILLE SURGICAL CLINIC
Location Address109 WIMBLEDON SQ STE CChesapeake, VA 23320-4945
Mailing Address109 Wimbledon Sq Ste CChesapeake, VA 23320-4945 · (757) 436-3630
Phone(757) 436-3630
Organization SubpartNo
Authorized OfficialMohib N.i. GhobrialOwner · (757) 436-3630
Enumeration DateSeptember 12, 2011
✔ NPI 1821370321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedNurse PractitionerTaxonomy 363L00000X
109 WIMBLEDON SQ STE C, Chesapeake, VA 23320
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenanville Surgical Clinic's NPI number?

The NPI number for Kenanville Surgical Clinic is 1821370321. It was assigned to this organization in the NPPES registry on September 12, 2011.

Where is Kenanville Surgical Clinic located?

Kenanville Surgical Clinic is located at 109 Wimbledon Sq Ste C, Chesapeake, VA 23320. The listed phone number is (757) 436-3630.

What is Kenanville Surgical Clinic's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Kenanville Surgical Clinic was last updated on September 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.