Individual
DR. JOHN KENNETH PLEMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101235267
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10060203
SENTARA
VA
01
—
139178
BCBS
VA
01
—
1427098698
VA PREMIER HEALTH PLAN
VA
05
—
1427098698
—
VA
05
—
5915851
—
NC
01
—
P00844140
RAILROAD MEDICARE
VA
Enumeration date
06/07/2006
Last updated
02/07/2014
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