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Individual

DR. KENNETH VEENEMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11915 GEORGIA AVE, WHEATON, MD 20902-2065
(301) 942-4505
Mailing address
11915 GEORGIA AVE, WHEATON, MD 20902-2065
(301) 942-4505

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2018-03016
NC
207PS0010X
Sports Medicine (Emergency Medicine) Physician
155808
NY
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
D76157
MD
2085U0001X
Diagnostic Ultrasound Physician
D76157
MD

Other

Enumeration date
07/17/2006
Last updated
04/05/2019
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