Individual
DR. KENNETH MARTIN ALGINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 RIVERSIDE CIR, SUITE 105, ROANOKE, VA 24016-4961
(540) 581-0150
(540) 985-4537
Mailing address
1 RIVERSIDE CIR, SUITE 105, ROANOKE, VA 24016-4961
(540) 581-0150
(540) 985-4537
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101241666
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861448904
—
VA
01
—
P00417626
RAILROAD MEDICARE
—
Enumeration date
05/26/2006
Last updated
05/26/2016
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