Kenner Army Health Clinic | |
700 24th St Fort Lee VA 23801-1716 | |
(804) 734-9449 | |
(804) 734-9053 |
Full Name | Kenner Army Health Clinic |
---|---|
Speciality | Clinic/center - Community Health |
Location | 700 24th St, Fort Lee, Virginia |
Authorized Official Name and Position | Joseph Eugene Watson (LICENSED PRACTICAL NURSE) |
Authorized Official Contact | 8047349449 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kenner Army Health Clinic 11719 Walnut Wood Ct Midlothian VA 23112-3268 Ph: (804) 595-1602 | Kenner Army Health Clinic 700 24th St Fort Lee VA 23801-1716 Ph: (804) 734-9449 |
NPI Number | 1164640504 |
---|---|
Provider Enumeration Date | 04/23/2007 |
Last Update Date | 08/12/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164640504 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | 0002041915 (Virginia) | Primary |