Organization
PHYSICIAN WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KONRAD H KAEDING (OWNER)
(302) 593-5904
Entity
Organization
Contact information
Practice address
825 DAVIS ST, E, BLACKSBURG, VA 24060-7009
(540) 953-3300
Mailing address
825 DAVIS ST, E, BLACKSBURG, VA 24060-7009
(540) 953-3300
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
0101059231
VA
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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