Organization
LUCKAY DOC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH R LUCKAY (D.O)
(540) 591-9013
Entity
Organization
Contact information
Practice address
48 STONEY BATTERY RD, TROUTVILLE, VA 24175-5800
(540) 591-9013
(314) 536-8754
Mailing address
48 STONEY BATTERY RD, TROUTVILLE, VA 24175-5800
(540) 591-9013
(314) 536-8754
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102049890
VA
Other
Enumeration date
03/09/2007
Last updated
06/19/2012
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