Organization
PULASKI UROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH WASHINGTON (VP)
(703) 650-2907
Entity
Organization
Contact information
Practice address
2460 LEE HWY N, SUITE 5, PULASKI, VA 24301-2335
(540) 980-3914
(540) 980-9595
Mailing address
2460 LEE HWY N, SUITE 5, PULASKI, VA 24301-2335
(540) 980-3914
(540) 980-9595
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942226840
—
VA
Enumeration date
07/14/2006
Last updated
01/11/2008
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