Individual
DR. KENNETT DARREL RADFORD II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, CRNA
Contact information
Practice address
5530 WISCONSIN AVE STE 1620, CHEVY CHASE, MD 20815-4322
(301) 718-9800
(301) 986-1672
Mailing address
2481 LLEWELLYN AVE SUITE 5800, FORT GEORGE S. MEADE, MD 20755-5129
(301) 677-8931
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0024168740
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
R230515
MD
Other
Enumeration date
04/01/2010
Last updated
03/13/2024
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