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:
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Health care specialties

SpecialtyCodeLicense #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 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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