Individual
KENNETH BARHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2141 ABERDOUR RD, JARRATT, VA 23867-8731
(434) 634-0201
(434) 634-0214
Mailing address
2141 ABERDOUR RD, JARRATT, VA 23867-8731
(434) 634-0201
(434) 634-0214
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
T64701035
VA
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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