Kenjack Medical LLC
Kenjack Medical LLC is a Family Medicine Physician in Norfolk, Virginia. Licensed in Virginia. Registered with an NPI since 2015.
- Licensed in
- VA
- In the registry since
- 2015
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
951 W 21st StNorfolk, VA 23517-1534
Phone: (757) 274-4452
Fax: (757) 531-7723
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 0102036923 (VA) |
|---|
Record details
| NPI number | 1528423555 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Garrett Kelly — President · (757) 274-4452 |
| NPI enumerated | December 17, 2015 |
| Last updated in NPPES | May 1, 2017 |
| Mailing address | 951 W 21st St, Norfolk, VA 23517-1534 |
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