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KENNETH EDWARD ANSELMI MD
>> Ophthalmology >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1497843346
Individual Registrant: KENNETH EDWARD ANSELMI MD
Gender: M
Not Sole Proprietor
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
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
Tel: 276-963-0895 Fax: 276-963-0897
Registration Information:
NPI: 1497843346
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207W00000X | Allopathic & Osteopathic Physicians Ophthalmology | VA | 0101028748 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
