# KENNER ARMY HEALTH CLINIC

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

## Provider details

- **NPI number:** 1356330641
- **Authorized official:** MS. KAREN INGE PHILLIPS (PI/RM COORDINATOR)
- **Authorized official phone:** (804) 734-9434

## Contact information

- **Practice address:** 700 24TH ST, FORT LEE, VA 23801-1716
- **Practice address phone:** (804) 734-9434
- **Mailing address:** 23000 WEATHERFRONT LN, DINWIDDIE, VA 23841-2352
- **Mailing address phone:** (804) 469-9157

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/19/2005
- **Last updated:** 08/12/2008