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Search › Virginia › 101YA0400X

Kenneth Fraley, QMHP-A, CSAC-S

NPI 1447031182 · on the registry since 2023

Practice

Address
2790 Godwin Blvd Ste 200
Suffolk, VA 23434
Phone
(866) 934-7450
Organisation at this address
Urology Of Va Pc
Franklin Clinic Corp
Sentara Medical Group
Sentara Medical Group
Sentara Medical Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address
58

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-10-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia