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Organization
KENNER ARMY HEALTH CLINIC
Active
Organization
KENNER ARMY HEALTH CLINIC
Active
Parent organization
KENNER ARMY HEALTH CLINIC
Other names
TMC-2 Kenner-Ft Lee
Organization subpart
Yes
Provider details
NPI number
Legal business name
KENNER ARMY HEALTH CLINIC
Authorized official
CARLOS RODRIGUEZ-ROSADO (NCOIC PAD)
(804) 734-9299
Entity
Organization
Contact information
Practice address
2601 C AVE, TMC 2 BLD T8204, FORT LEE, VA 23801-1717
(804) 734-9000
Mailing address
700 24TH ST, ATTN PAD, FORT LEE, VA 23801-1716
(804) 734-9306
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/02/2011
Last updated
01/30/2014
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