Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenanville Surgical Clinic

Organization Surgery Physician · NPI 1821370321

Kenanville Surgical Clinic is a Surgery Physician in Chesapeake, Virginia. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
2

Practice location Address checks out

109 Wimbledon Sq Ste C
Chesapeake, VA 23320-4945
Phone: (757) 436-3630
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1821370321
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohib Ghobrial — Owner · (757) 436-3630
NPI enumeratedSeptember 12, 2011
Last updated in NPPESSeptember 12, 2011
Mailing address109 Wimbledon Sq Ste C, Chesapeake, VA 23320-4945

Other providers in Chesapeake