Individual
KENNETH H ELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
755 HONEYSUCKLE RD, SALEM, VA 24153-2745
(402) 630-5100
Mailing address
PO BOX 1044, SALEM, VA 24153-1044
(402) 630-5100
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
13066
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0915579
—
IA
05
—
206812802
—
MO
Enumeration date
07/15/2006
Last updated
02/22/2011
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