Individual
MR. KENNETH JUNIUS KNOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
458 PRITCHETT LN, BLAIRS, VA 24527-2236
(434) 857-5908
(434) 857-5908
Mailing address
458 PRITCHETT LN, BLAIRS, VA 24527-2236
(434) 857-5908
(434) 857-5908
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
T60236087
VA
Other
Enumeration date
10/14/2017
Last updated
10/14/2017
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