Organization · Type 2 NPI

Kenner Army Health Clinic

Military/U.S. Coast Guard Outpatient Clinic/Center · Fort Lee, VA

NPI number 1356330641 Active

Practice location

700 24th St
Fort Lee, VA 23801-1716

Call (804) 734-9434 Map

Mailing address

23000 Weatherfront Ln
Dinwiddie, VA 23841-2352

Specialties and licenses

TaxonomyCodeLicense
Military/U.S. Coast Guard Outpatient Clinic/Center Primary 261QM1100XNone listed

Military/U.S. Coast Guard Outpatient Clinic/Center: The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as exam…

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About NPI 1356330641

Kenner Army Health Clinic's National Provider Identifier is 1356330641, issued on Oct 19, 2005. The primary taxonomy on file is Military/U.S. Coast Guard Outpatient Clinic/Center (261QM1100X), and the practice location is in Fort Lee, VA. The record was last updated on Aug 12, 2008.