Individual
MR. KENNETH JAMES MEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
12200 WARWICK BLVD STE 310, NEWPORT NEWS, VA 23601-2344
(757) 534-9988
(757) 534-5688
Mailing address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5800
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110007112
VA
Other
Enumeration date
02/05/2006
Last updated
04/30/2020
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