Individual
MR. KENNETH PATTON SPEAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
127 HEALTH CARE DR, PENNINGTON GAP, VA 24277-2853
(276) 546-1440
(276) 546-5759
Mailing address
999 EXECUTIVE PARK BLVD, SUITE 201, KINGSPORT, TN 37660-4632
(423) 224-3250
(423) 224-3258
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
33147
VA
Other
Enumeration date
11/07/2006
Last updated
10/21/2022
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