Kenneth Perry Vantassel

NPI #1225581481 in Richmond, Texas

Provider Information

NPI Number: 1225581481
Entity Type: Individual
Name: Kenneth Perry Vantassel
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Military Health Care Provider - Independent Duty Corpsman
Enumeration Date: Jul 24, 2016
Last Updated: Jul 24, 2016

Practice Location

Address: 1410 WOODFAIR DR
City: Richmond
State: Texas
ZIP Code: 77406-6609
Phone: (530) 651-3022

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman	1710I1002X	Primary

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