| Kenner Army Health Clinic | |
|
700 24th St Fort Lee VA 23801-1716 | |
| (804) 734-9449 | |
| (804) 734-9053 |
| Full Name | Kenner Army Health Clinic |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 700 24th St, Fort Lee, Virginia |
| Authorized Official Name and Position | Joseph Eugene Watson (LICENSED PRACTICAL NURSE) |
| Authorized Official Contact | 8047349449 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenner Army Health Clinic 11719 Walnut Wood Ct Midlothian VA 23112-3268 Ph: (804) 595-1602 | Kenner Army Health Clinic 700 24th St Fort Lee VA 23801-1716 Ph: (804) 734-9449 |
| NPI Number | 1164640504 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 08/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164640504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 0002041915 (Virginia) | Primary |