Organization
MEDSTREAM OF VIRGINIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH ELLINGTON (PRESIDENT)
(828) 210-9386
Entity
Organization
Contact information
Practice address
82 PATTON AVE, SUITE 510, ASHEVILLE, NC 28801-3319
(828) 210-9386
(828) 210-9388
Mailing address
82 PATTON AVE, SUITE 510, ASHEVILLE, NC 28801-3319
(828) 210-9386
(828) 210-9388
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
08/02/2012
Last updated
09/18/2012
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