Lucas, Kenneth Wilson

Lucas, Kenneth Wilson is an individual health care provider with primary practice located at 2205 N Parham Rd , Richmond VA 23229-3161. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lucas, Kenneth Wilson can be contacted via phone (804) 270-2150.

Contact Information

Primary practice address
2205 N Parham Rd Richmond VA 23229-3161
Phone: (804) 270-2150
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101027078 Virginia

Profile Details

NPI number 1366417990
LBN Legal business name Lucas, Kenneth Wilson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Apr 6th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366417990 NPPES
Virginia MEDICAID 5630703

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