KENNETH LEROY BLAIR

CHARLOTTESVILLE, VA
NPI1912022831
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: VA  0110840488)
Enumeration Date2007-03-20
Last Update Date2007-07-08
Business Address
-- KENNETH LEROY BLAIR P.A.
LEE ST
CHARLOTTESVILLE, VA 22908-0001
Phone number: 434-243-6828
Mailing Address
-- KENNETH LEROY BLAIR P.A.
500 RAY C HUNT DR
CHARLOTTESVILLE, VA 22903-2981
Phone number: 434-980-6140
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