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1154475267
WILTON CRAIG KENNEDY
ROANOKE, VA
NPI
1154475267
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: VA 0110 001184)
Enumeration Date
2007-01-23
Last Update Date
2007-07-08
Business Address
Mr. WILTON CRAIG KENNEDY PA-C
2620 AVENHAM AVE SW
ROANOKE, VA 24014-1507
Phone number: 540-985-4016
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Mailing Address
Mr. WILTON CRAIG KENNEDY PA-C
2620 AVENHAM AVE SW
ROANOKE, VA 24014-1507
Phone number: 540-985-4016
Copy
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