Luckay Doc, Pllc

NPI 1093847873 - Family Medicine - 207Q00000X

NPI Details
NPI 1093847873
Enumeration Date 03/09/2007
Last Updated 06/19/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KENNETH R KENNETH
Position D.O
Phone (540) 591-9013
Fax (314) 536-8754
Practice Location
48 STONEY BATTERY RD
TROUTVILLE VA, 24175-5800, US
Phone (540) 591-9013
Fax (314) 536-8754
Business Location
48 STONEY BATTERY RD
TROUTVILLE VA, 24175-5800, US
Phone (540) 591-9013
Fax (314) 536-8754
Toxanomy
Taxonomy Code 207Q00000X
License State Virginia
License Number 0102049890
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According to our database, Luckay Doc, Pllc NPI is 1093847873, taxonomy code is 207Q00000X and license number is 0102049890, license state is located at Virginia. Luckay Doc, Pllc physically located at 48 Stoney Battery Rd, Troutville VA, 24175-5800. NPI Number 1033115704 has the healthcare provider type.

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1093847873 NPI number is provided on an as is basis without warranty of any kind. 1093847873 is maintained by the National Plan & Provider Enumeration System. The contents of Luckay Doc, Pllc are for informational purposes only.