Organization
KENNER ARMY HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN INGE PHILLIPS (PI/RM COORDINATOR)
(804) 734-9434
Entity
Organization
Contact information
Practice address
700 24TH ST, FORT LEE, VA 23801-1716
(804) 734-9434
Mailing address
23000 WEATHERFRONT LN, DINWIDDIE, VA 23841-2352
(804) 469-9157
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Enumeration date
10/19/2005
Last updated
08/12/2008
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