# KENNER ARMY HEALTH CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KENNER ARMY HEALTH CLINIC
- **Other names:** USADC FT. LEE COL BULL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1689879330
- **Legal business name:** KENNER ARMY HEALTH CLINIC
- **Authorized official:** CARLOS RODRIGUEZ-ROSADO (NCOIC PAD)
- **Authorized official phone:** (804) 734-9299

## Contact information

- **Practice address:** 2601 C AVE, FORT LEE, VA 23801-1717
- **Practice address phone:** (804) 734-9000
- **Mailing address:** 700 24TH ST, ATTN PAD, FORT LEE, VA 23801-1716
- **Mailing address phone:** (804) 734-9306

## Taxonomy

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

## Other

- **Enumeration date:** 06/20/2007
- **Last updated:** 01/30/2014