Individual
MR. KENNETH EUGENE HARBOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC. DIPL.AC
Contact information
Practice address
18478 FOREST RD STE 3, FOREST, VA 24551-4302
(434) 316-9101
Mailing address
PO BOX 4799, LYNCHBURG, VA 24502-0799
(434) 200-9144
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0121000516
VA
172M00000X
Mechanotherapist
0019002638
VA
Other
Enumeration date
01/18/2010
Last updated
04/22/2014
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