Individual
KENNETH WILLIAM PUTLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10852 WARWICK BLVD, NEWPORT NEWS, VA 23601-3741
(757) 594-3602
(757) 594-3605
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101046425
VA
Other
Enumeration date
02/15/2006
Last updated
02/18/2014
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