Kennedy, Wilton Craig
Kennedy, Wilton Craig is an individual health care provider with primary practice located at 2620 Avenham Ave Sw , Roanoke VA 24014-1507. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Kennedy, Wilton Craig can be contacted via phone (540) 985-4016.Contact Information
Primary practice address
2620 Avenham Ave Sw
Roanoke VA 24014-1507
Phone: (540) 985-4016
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 0110 001184 | Virginia |
Profile Details
| NPI number | 1154475267 |
|---|---|
| LBN Legal business name | Kennedy, Wilton Craig |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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