Kenner Army Health Clinic

NPI #1164640504 in Fort Lee, Virginia

Provider Information

NPI Number
1164640504
Entity Type
Organization
Organization Name
Kenner Army Health Clinic
Primary Specialty
Clinic/Center - Community Health
Enumeration Date
Apr 23, 2007
Last Updated
Aug 12, 2008

Practice Location

Address
700 24TH ST
ZIP Code
23801-1716
Phone
(804) 734-9449

Authorized Official

Name
MR. JOSEPH EUGENE WATSON
Title
LICENSED PRACTICAL NURSE
Phone
(804) 734-9449

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Community HealthCommunity Health

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