Garneau, Kevin R

Garneau, Kevin R is an individual health care provider with primary practice located at 2500 Hosptial Drive , Martinsburg WV 25401. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Garneau, Kevin R can be contacted via phone (304) 264-1000.

Contact Information

Primary practice address
2500 Hosptial Drive Martinsburg WV 25401
Phone: (304) 264-1000
Fax: (304) 264-1374
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 328 Montana

Profile Details

NPI number 1306890884
LBN Legal business name Garneau, Kevin R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Mar 7th, 2023 - about 2 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 1306890884 NPPES
Montana MEDICAID 4300031
Montana Other 328
Montana MEDICAID 4305539
Montana Other 945323

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