Kenner Army Health Clinic

Primary specialty

Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X

Legal business name

KENNER ARMY HEALTH CLINIC

Practice address

700 24TH St
Fort Lee, VA 23801-1716

Phone

(804) 734-9434

NPI assigned

Oct 19, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Karen Inge Phillips

Title

Pi/RM Coordinator

Phone

(804) 734-9434

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1356330641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23000 WEATHERFRONT LN",
            "city": "DINWIDDIE",
            "state": "VA",
            "postal_code": "238412352",
            "telephone_number": "804-469-9157"
        },
        {
            "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": "804-734-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNER ARMY HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "INGE",
        "authorized_official_title_or_position": "PI/RM COORDINATOR",
        "authorized_official_telephone_number": "804-734-9434",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• Pamela Parker Kirkman, LCSW MAC
• Gina P. Klimp, PSY.D.

• All providers in Fort Lee, VA
• Military/U.S. Coast Guard Outpatient 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.