KENNETH LANE FOLSOM

PORTSMOUTH, VA
NPI1104247436
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: VA  0001201103)
Enumeration Date2014-01-06
Last Update Date2014-01-06
Business Address
-- KENNETH LANE FOLSOM CRNA
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708-2111
Phone number: 757-953-3300
Mailing Address
-- KENNETH LANE FOLSOM CRNA
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708-2111
Phone number: 757-953-3300