Individual
KENNETH REY BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
9506 HOSPITAL AVE, NASSAWADOX, VA 23413
(757) 414-8333
(757) 414-8338
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024172482
VA
Other
Enumeration date
04/10/2015
Last updated
04/10/2015
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