Kenamond, Mark C

Kenamond, Mark C is an individual health care provider with primary practice located at 2000 Eoff St , Wheeling WV 26003-3823. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Kenamond, Mark C can be contacted via phone (304) 234-0123.

Contact Information

Primary practice address
2000 Eoff St Wheeling WV 26003-3823
Phone: (304) 234-0123
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 15817 West Virginia

Profile Details

NPI number 1720088271
LBN Legal business name Kenamond, Mark C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2005
Last updated Jul 18th, 2007 - about 17 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 1720088271 NPPES
Ohio MEDICAID 0153659
Ohio Other 11101575
Ohio Other 1036214
Ohio MEDICAID 0118422000
Ohio MEDICAID 02100530

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