Organization
KENNER ARMY HEALTH CLINIC
Active
Parent organization
KENNER ARMY HEALTH CLINIC
Other names
USADC FT. LEE COL BULL
Organization subpart
Yes
Provider details
NPI number
Legal business name
KENNER ARMY HEALTH CLINIC
Authorized official
CARLOS RODRIGUEZ-ROSADO (NCOIC PAD)
(804) 734-9299
Entity
Organization
Contact information
Practice address
2601 C AVE, FORT LEE, VA 23801-1717
(804) 734-9000
Mailing address
700 24TH ST, ATTN PAD, FORT LEE, VA 23801-1716
(804) 734-9306
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Enumeration date
06/20/2007
Last updated
01/30/2014
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