Tankersley, Kenneth Lee

Tankersley, Kenneth Lee is an individual health care provider with primary practice located at 716 Denbigh Blvd , Newport News VA 23608-4414. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Tankersley, Kenneth Lee can be contacted via phone (757) 874-6501.

Contact Information

Primary practice address
716 Denbigh Blvd Newport News VA 23608-4414
Phone: (757) 874-6501
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X Virginia

Profile Details

NPI number 1184607731
LBN Legal business name Tankersley, Kenneth Lee
Credentials D.D.S AND M.D
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Jul 13th, 2026 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184607731 NPPES
Virginia MEDICAID 8000590
Virginia Other 466101
Virginia Other 01464599

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