| Kenneth Thelan, MD | |
|
13205 Booker T Washington Hwy, Hardy, VA 24101-3947 | |
| (540) 721-2689 | |
| Not Available |
| Full Name | Kenneth Thelan |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 13205 Booker T Washington Hwy, Hardy, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972579498 | NPI | - | NPPES |
| 010099838 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101-236932 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Thelan, MD 48 Par Five Ln, Hardy, VA 24101-2654 Ph: () - | Kenneth Thelan, MD 13205 Booker T Washington Hwy, Hardy, VA 24101-3947 Ph: (540) 721-2689 |
Virginia B Thelan, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 282 Westlake Rd, Hardy, VA 24101 Phone: 540-721-2689 Fax: 540-721-3623 | |
Susan Irby, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 13205 Booker T Washington Hwy, Hardy, VA 24101 Phone: 540-721-2689 Fax: 540-721-3623 |