Organization
KENNETH M. MCINTYRE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH MARK MCINTYRE M.D. (PRESIDENT)
(276) 613-1829
Entity
Organization
Contact information
Practice address
710 W RIDGE RD, SUITE E, WYTHEVILLE, VA 24382-1095
(276) 613-1829
(276) 613-1829
Mailing address
710 W RIDGE RD, WYTHEVILLE, VA 24382-1095
(276) 613-1829
(276) 227-0446
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101231072
VA
Other
Enumeration date
08/11/2006
Last updated
11/17/2009
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