Organization
KIGGUNDU RADIATION THERAPY, PA
Active
Other names
Kiggundu Radiation Therapy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD W. KIGGUNDU MD (PRESIDENT)
(304) 262-8800
Entity
Organization
Contact information
Practice address
2000 FOUNDATION WAY, SUITE 1100, MARTINSBURG, WV 25401-9003
(304) 262-8800
(304) 262-8203
Mailing address
1419 SE 8TH TER STE 200, CAPE CORAL, FL 33990-3213
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810003414
—
WV
Enumeration date
01/20/2006
Last updated
09/25/2023
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