OrganizationActive
Kenanville Surgical Clinic
NPI 1821370321 · Surgery Physician · Chesapeake, VA
Provider details
- NPI number
- 1821370321
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mohib Ghobrial, Owner(757) 436-3630
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
109 Wimbledon Sq Ste C
Chesapeake, VA 23320-4945
Phone: (757) 436-3630
Street-level locationGet directions
Mailing address
109 Wimbledon Sq Ste C
Chesapeake, VA 23320-4945
Registry dates
- Enumerated
- 2011-09-12
- Last updated
- 2011-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.