Dr. Supakunya Edmonson, D.O.
Psychiatry & Neurology, Neurology in Norfolk, VA. Individual provider (NPI-1).
NPI number1366420853
StatusActive
Last updated in NPPESMay 14, 2026
Details
- NPI
- 1366420853
- Entity type
- Individual (NPI-1)
- Name
- Dr. Supakunya Edmonson
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 4, 2006
- Certification date
- May 14, 2026
- Last updated
- May 14, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | 0102201767 | VA | Yes |
| 2084N0400X | Psychiatry & Neurology, Neurology | 2022046492 | MO |
Practice location
Uss EnterpriseMedical Dept
Norfolk, VA 23551-0001
Phone 757-444-8632
Mailing address
1714 Pompey StVirginia Beach, VA 23464-6514
Other practice locations
15740 S Outer 40 Rd
Chesterfield, MO 63017-2004
Chesterfield, MO 63017-2004
Phone 636-237-4733
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