# LUCKAY DOC, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093847873
- **Authorized official:** DR. KENNETH R LUCKAY (D.O)
- **Authorized official phone:** (540) 591-9013

## Contact information

- **Practice address:** 48 STONEY BATTERY RD, TROUTVILLE, VA 24175-5800
- **Practice address phone:** (540) 591-9013
- **Practice address fax:** (314) 536-8754
- **Mailing address:** 48 STONEY BATTERY RD, TROUTVILLE, VA 24175-5800
- **Mailing address phone:** (540) 591-9013
- **Mailing address fax:** (314) 536-8754

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0102049890 | VA | Yes |

## Other

- **Enumeration date:** 03/09/2007
- **Last updated:** 06/19/2012