Kenner Army Health Clinic

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

0002041915 Issued in VA

Legal business name

KENNER ARMY HEALTH CLINIC

Practice address

700 24TH St
Fort Lee, VA 23801-1716

Phone

(804) 734-9449

Fax

(804) 734-9053

NPI assigned

Apr 23, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Joseph Eugene Watson

Title

Licensed Practical Nurse

Phone

(804) 734-9449

Specialties & licenses 1

Addresses

Tax ID family

Dewitt Army Hospital2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dewitt Army Hospital

  • General Acute Care Hospital
  • Fort Belvoir, VA
  • NPI 1548243231
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1164640504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11719 WALNUT WOOD CT",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231123268",
            "telephone_number": "804-595-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 24TH ST",
            "city": "FORT LEE",
            "state": "VA",
            "postal_code": "238011716",
            "telephone_number": "804-734-9449",
            "fax_number": "804-734-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNER ARMY HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "LICENSED PRACTICAL NURSE",
        "authorized_official_telephone_number": "804-734-9449",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "VA",
            "license": "0002041915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie P. Huggins, M.D.
• Richard B. Johnson, M.D.
• Konstance Joseph, DMD
• Eugene L Kastelberg Jr., MD
• Kenner Army Health Clinic
• Kenner Army Health Clinic
• Kenner Army Health Clinic
• Kenner Army Health Clinic
• Kenner Army Health Clinic
• Rana Khalid, MD

• All providers in Fort Lee, VA
• Community Health Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.