KENJACK MEDICAL LLC

NORFOLK, VA
NPI1528423555
Entity TypeOrganization
Authorized ContactGARRETT M KELLY
President
757-274-4452
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: VA  0102036923)
Enumeration Date2015-12-17
Last Update Date2017-05-01
Business Address
KENJACK MEDICAL LLC
951 W 21ST ST
NORFOLK, VA 23517-1534
Phone number: 757-274-4452
Mailing Address
KENJACK MEDICAL LLC
951 W 21ST ST
NORFOLK, VA 23517-1534
Phone number: 757-274-4452
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