Individual
DR. JAMES GLENN KENNIS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1060 W PERIMETER RD, JB ANDREWS, MD 20762-6602
(843) 327-8317
Mailing address
1060 W PERIMETER RD, JB ANDREWS, MD 20762-6602
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101276321
VA
207L00000X
Anesthesiology Physician
52710
SC
207L00000X
Anesthesiology Physician
LL52710
SC
Other
Enumeration date
04/16/2018
Last updated
09/13/2022
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