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Organization

HENDERSONVILLE AESTHETICS AND VEIN CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT MICHAEL KENNERLY MD (PRESIDENT)
(828) 393-4230
Entity
Organization

Contact information

Practice address
420 5TH AVE W, SUITE 100, HENDERSONVILLE, NC 28739-4202
(828) 393-4230
(828) 393-4000
Mailing address
420 5TH AVE W, SUITE 100, HENDERSONVILLE, NC 28739-4202
(828) 393-4230
(828) 393-4000

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary

Other

Enumeration date
09/22/2014
Last updated
11/04/2014
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