Organization
JEFFERSON NEPHROLOGY, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN R. MCCONNELL MD (OWNER)
(434) 295-6374
Entity
Organization
Contact information
Practice address
675 PETER JEFFERSON PKWY, SUITE 140, CHARLOTTESVILLE, VA 22911-8618
(434) 295-6374
(434) 293-4990
Mailing address
PO BOX 1583, CHARLOTTESVILLE, VA 22902-1583
(434) 654-7794
(434) 654-7752
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
01/13/2006
Last updated
10/28/2013
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