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1770572331
KENNETH R LUCKAY
ROANOKE, VA
NPI
1770572331
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: VA 0102049893)
Enumeration Date
2005-10-17
Last Update Date
2014-04-11
Business Address
-- KENNETH R LUCKAY DO
4515 BRAMBLETON AVE SUITE B
ROANOKE, VA 24018-3436
Phone number: 540-777-6807
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Mailing Address
-- KENNETH R LUCKAY DO
4515 BRAMBLETON AVE SUITE B
ROANOKE, VA 24018-3436
Phone number: 540-777-6807
Copy
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