Individual
KENNETH LEROY BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
LEE ST, CHARLOTTESVILLE, VA 22908-0001
(434) 243-6828
(434) 982-3885
Mailing address
500 RAY C HUNT DR, CHARLOTTESVILLE, VA 22903-2981
(434) 980-6140
(434) 972-4266
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110840488
VA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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