Kenner Army Health Clinic

NPI #1043591175 in Fort Lee, Virginia

Provider Information

NPI Number
1043591175
Entity Type
Organization
Organization Name
Kenner Army Health Clinic
Subpart
Yes (part of a larger organization)
Parent Organization
KENNER ARMY HEALTH CLINIC
Primary Specialty
Clinic/Center - Military/U.S. Coast Guard Outpatient
Enumeration Date
Sep 2, 2011
Last Updated
Jan 30, 2014

Practice Location

Address
700 24TH ST
Address 2
BLDG 3219 NCXO TMC
ZIP Code
23801-1716
Phone
(804) 734-9000

Authorized Official

Name
CARLOS RODRIGUEZ-ROSADO
Title
NCOIC PAD
Phone
(804) 734-9299

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Military/U.S. Coast Guard OutpatientMilitary/U.S. Coast Guard Outpatient

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