Provider Demographics
NPI:1043214927
Name:RICE, ANTHONY KIELER JR (MD)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:KIELER
Last Name:RICE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2024-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101280653207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVC10269OtherRAILROAD MEDICARE GROUP #
WVP00435953OtherRAILROAD INDIVIDUAL #
WV1043214927OtherNPI
VA0101280653OtherSTATE LICENSE