Individual
DR. KENNETH APOLLO MUSANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
121 NATIONWIDE DR, LYNCHBURG, VA 24502-4272
(434) 384-1862
(434) 384-7704
Mailing address
742 SOUTH GOVERNORS AVE, STE 3, DOVER, DE 19904-4111
(302) 678-5008
(302) 678-5505
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101243775
VA
207R00000X
Internal Medicine Physician
44975
WI
207RG0100X
Gastroenterology Physician
0101243775
VA
207RG0100X
Gastroenterology Physician
Primary
C10025179
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34589400
—
WI
Enumeration date
09/23/2006
Last updated
02/20/2024
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