Hennon, Kimberly Ann
Hennon, Kimberly Ann is an individual health care provider with primary practice located at 100 Medical Blvd Canonsburg Hospital, Canonsburg PA 15317. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Hennon, Kimberly Ann can be contacted via phone (724) 745-3077.Contact Information
Primary practice address
100 Medical Blvd Canonsburg Hospital
Canonsburg PA 15317
Phone: (724) 745-3077
Fax: (724) 746-8579
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD057343L | Pennsylvania |
Profile Details
| NPI number | 1548260573 |
|---|---|
| LBN Legal business name | Hennon, Kimberly Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2005 |
| Last updated | Jan 22nd, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548260573 | NPPES |
| West Virginia | MEDICAID | 1809907000 | |
| West Virginia | MEDICAID | 2235861 | |
| West Virginia | MEDICAID | 0015659650002 |
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