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1528423555
KENJACK MEDICAL LLC
NORFOLK, VA
NPI
1528423555
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Entity Type
Organization
Authorized Contact
GARRETT M KELLY
President
757-274-4452
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: VA 0102036923)
Enumeration Date
2015-12-17
Last Update Date
2017-05-01
Business Address
KENJACK MEDICAL LLC
951 W 21ST ST
NORFOLK, VA 23517-1534
Phone number: 757-274-4452
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Mailing Address
KENJACK MEDICAL LLC
951 W 21ST ST
NORFOLK, VA 23517-1534
Phone number: 757-274-4452
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