Individual
KENT GALEN MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10299 WOODMAN RD, GLEN ALLEN, VA 23060-4419
(804) 261-8500
Mailing address
201 N MEADOW ST, RICHMOND, VA 23220-3547
(804) 355-5361
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101052611
VA
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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