Organization
CENTER FOR VASCULAR MEDICINE AL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD KENNEDY PA-C (CHIEF EXECUTIVE OFFICER)
(301) 982-2000
Entity
Organization
Contact information
Practice address
3280 ROSS CLARK CIR, DOTHAN, AL 36303-3040
(301) 486-4690
(301) 441-8809
Mailing address
7474 GREENWAY CENTER DR STE 900, GREENBELT, MD 20770-3504
(301) 982-2000
(301) 982-2001
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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