Individual
KENNETH ALLEN PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
850 CRAWFORD PKWY, APARTMET 1311, PORTSMOUTH, VA 23704-2304
(757) 576-1764
Mailing address
850 CRAWFORD PKWY, APARTMET 1311, PORTSMOUTH, VA 23704-2304
(757) 576-1764
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001175105
VA
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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