Kenneth E Mccolley
Emergency Physician
3700 S Main St
Blacksburg
, Virginia 24060-7017
Kenneth E Mccolley
Emergency Physician
3700 S Main St
Blacksburg
, Virginia 24060-7017
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Kenneth E Mccolley
- 105 Sherwood Dr
- Colonial Heights, VA
- Zip : 23834-1226
- Phone :
Second Address
- Kenneth E Mccolley
- 3700 S Main St
- Blacksburg, VA
- Zip : 24060-7017
- Phone : (540) 953-5122
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207P00000X | Emergency Physician | 0110840685 | VA |
National Provider Identifier
| NPI | 1003817966 |
|---|---|
| Provider Name | Kenneth E Mccolley |
| First Address | Colonial Heights, VA 23834-1226 |
| Second Address | Blacksburg, VA 24060-7017 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/08/2005 |
| Last Update Date | 22/09/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0110840685 | BOARD OF MEDICINE (01) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.