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KENNETH EDWARD ANSELMI MD

>> Ophthalmology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1497843346

Individual Registrant:
 KENNETH EDWARD ANSELMI MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
5453 GOVERNOR GC PEERY HWY  RAVEN, VA 24639 US
Tel: 276-963-0895  Fax: 276-963-0897

Contact information for business:
PO BOX 236  DORAN, VA 24612 US
Tel: 276-963-0895  Fax: 276-963-0897

Registration Information:
NPI: 1497843346
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207W00000XAllopathic & Osteopathic Physicians
Ophthalmology
VA0101028748

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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