# RADFORD FAMILY MEDICINE LLC

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

## Provider details

- **NPI number:** 1386802031
- **Authorized official:** KENNETH WASHINGTON (VP)
- **Authorized official phone:** (703) 650-2307

## Contact information

- **Practice address:** 600 E MAIN ST, SUITE D, RADFORD, VA 24141-1826
- **Practice address phone:** (540) 633-3980
- **Practice address fax:** (540) 633-3985
- **Mailing address:** 600 E MAIN ST, SUITE D, RADFORD, VA 24141-1826
- **Mailing address phone:** (540) 633-3980
- **Mailing address fax:** (540) 633-3985

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/29/2008
- **Last updated:** 12/08/2008