Kennedy, Chris N
Kennedy, Chris N is an individual health care provider with primary practice located at 597 Liberty St , West Milford WV 26451-6801. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Kennedy, Chris N can be contacted via phone (304) 745-4568.Contact Information
Primary practice address
597 Liberty St
West Milford WV 26451-6801
Phone: (304) 745-4568
Fax: (304) 326-3700
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2274 | West Virginia |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 2272 | West Virginia |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 2272 | West Virginia |
Profile Details
| NPI number | 1326225350 |
|---|---|
| LBN Legal business name | Kennedy, Chris N |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2008 |
| Last updated | Aug 24th, 2022 - about 4 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 | 1326225350 | NPPES |
| West Virginia | Other | 2272 | WV LICENSE 2272 |
| West Virginia | MEDICAID | 3810015306 | WV LICENSE 2272 |
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