KENNETH NEVILLE

PORTSMOUTH, VA
NPI1730546920
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2016-01-20
Last Update Date2016-01-20
Business Address
-- KENNETH NEVILLE
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708-2111
Phone number: 757-893-6879
Mailing Address
-- KENNETH NEVILLE
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708-2111
Phone number:
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