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

Tidewater Kidney Specialists, Inc

Organization Specialist · NPI 1780624627

Tidewater Kidney Specialists, Inc is a Specialist in Virginia Beach, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4445 Corporation Ln Ste 100
Virginia Beach, VA 23462-3666
Phone: (757) 623-0005
Fax: (757) 548-1129
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X (VA)
Specialist Taxonomy 174400000X (VA)

Record details

NPI number1780624627
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Skidmore — Administrator · (757) 623-0005
NPI enumeratedJune 8, 2006
Last updated in NPPESJanuary 20, 2022
Certification dateJanuary 20, 2022
Mailing address4445 Corporation Ln Ste 100, Virginia Beach, VA 23462-3666

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