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Individual

DR. KEITH W JENNINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
2817 REILLY ROAD, WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28307
(910) 243-9262
Mailing address
WOMACK ARMY MEDICAL CTR, 2817 REILLY ROAD, FORT BRAGG, NC 28310-7301

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
0810005241
VA
103TC0700X
Clinical Psychologist
Primary
5042
NC

Other

Enumeration date
10/08/2015
Last updated
11/06/2016
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