Judson, Kenneth G
Judson, Kenneth G is an individual health care provider with primary practice located at 2000 Mon Health Medical Park Dr Ste 2300 , Morgantown WV 26505-1168. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Judson, Kenneth G can be contacted via phone (304) 599-8802.Contact Information
Primary practice address
2000 Mon Health Medical Park Dr Ste 2300
Morgantown WV 26505-1168
Phone: (304) 599-8802
Fax: (304) 599-5607
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | OS010445L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | OS010445L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 2110 | West Virginia |
Profile Details
| NPI number | 1770525891 |
|---|---|
| LBN Legal business name | Judson, Kenneth G |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Dec 22nd, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770525891 | NPPES |
| Ohio | MEDICAID | 2670622 | |
| Ohio | MEDICAID | 2670622 | |
| Ohio | MEDICAID | 0018530940003 |
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