Mcintyre, Kenneth Mark
Mcintyre, Kenneth Mark is an sole proprietor health care provider with primary practice located at 1725 W Monroe St , Wytheville VA 24382. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mcintyre, Kenneth Mark can be contacted via phone (276) 613-3978.Contact Information
Primary practice address
1725 W Monroe St
Wytheville VA 24382
Phone: (276) 613-3978
Fax: (276) 228-2995
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101231072 | Virginia |
Profile Details
| NPI number | 1033120308 |
|---|---|
| LBN Legal business name | Mcintyre, Kenneth Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Dec 10th, 2020 - about 5 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 | 1033120308 | NPPES |
| Virginia | MEDICAID | 5859654 |
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