Kennedy, Michael E

Kennedy, Michael E is an individual health care provider with primary practice located at 6433 Rt 60 East Suite 125, Barboursville WV 25504. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Kennedy, Michael E can be contacted via phone (304) 736-3094.

Contact Information

Primary practice address
6433 Rt 60 East Suite 125 Barboursville WV 25504
Phone: (304) 736-3094
Fax: (304) 736-3149
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 001043 West Virginia

Profile Details

NPI number 1336216084
LBN Legal business name Kennedy, Michael E
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Jul 8th, 2007 - about 18 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 1336216084 NPPES
West Virginia MEDICAID 0156717000

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