Kenneth Thelan, MD

NPI #1972579498 in Hardy, Virginia

Provider Information

NPI Number: 1972579498
Entity Type: Individual
Name: Kenneth Thelan, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Feb 24, 2006
Last Updated: Aug 12, 2011

Practice Location

Address: 13205 BOOKER T WASHINGTON HWY
City: Hardy
State: Virginia
ZIP Code: 24101-3947
Phone: (540) 721-2689

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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