Kornetsky, Kenneth M
Kornetsky, Kenneth M is an individual health care provider with primary practice located at 406 Hospital Dr , Warrenton VA 20186-3026. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Kornetsky, Kenneth M can be contacted via phone (540) 347-5696.Contact Information
Primary practice address
406 Hospital Dr
Warrenton VA 20186-3026
Phone: (540) 347-5696
Fax: (540) 347-7152
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 0101029628 | Virginia |
Profile Details
| NPI number | 1487657383 |
|---|---|
| LBN Legal business name | Kornetsky, Kenneth M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | Mar 21st, 2011 - about 13 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 | 1487657383 | NPPES |
| Virginia | Other | 144828 | SOUTHERN HEALTH |
| Virginia | Other | 655412 | SOUTHERN HEALTH |
| Virginia | Other | 7213129002 | SOUTHERN HEALTH |
| Virginia | Other | 033273 | SOUTHERN HEALTH |
| Virginia | Other | 20744 | SOUTHERN HEALTH |
| Virginia | Other | 23838 | SOUTHERN HEALTH |
| Virginia | Other | 299000 | SOUTHERN HEALTH |
| Virginia | Other | 503300 | SOUTHERN HEALTH |
| Virginia | Other | 201511 | SOUTHERN HEALTH |
| Virginia | Other | 6093485 | SOUTHERN HEALTH |
| Virginia | MEDICAID | 6093485 | SOUTHERN HEALTH |
| Virginia | Other | 41950001 | SOUTHERN HEALTH |
| Virginia | Other | 0004087405 | SOUTHERN HEALTH |
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