Individual provider · Type 1 NPI
Matthew Vennell
Medical Physician Assistant · Richmond, VA
NPI number
1679971410
Active
Practice location
7101 Jahnke Rd
Richmond, VA 23225-4017
Mailing address
5005 Westwind Dr
Myrtle Beach, SC 29579-1846
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1679971410
Matthew Vennell's National Provider Identifier is 1679971410, issued on Dec 10, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Richmond, VA. The record was last updated on Dec 10, 2014.