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Organization
HENDERSONVILLE AESTHETICS AND VEIN CENTER LLC
Active
Organization
HENDERSONVILLE AESTHETICS AND VEIN CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MICHAEL KENNERLY MD (PRESIDENT)
(828) 393-4230
Entity
Organization
Contact information
Practice address
420 5TH AVE W, SUITE 100, HENDERSONVILLE, NC 28739-4202
(828) 393-4230
(828) 393-4000
Mailing address
420 5TH AVE W, SUITE 100, HENDERSONVILLE, NC 28739-4202
(828) 393-4230
(828) 393-4000
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
NULL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
09/22/2014
Last updated
11/04/2014
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