Oxley, Kenneth D

Oxley, Kenneth D is an sole proprietor health care provider with primary practice located at 3729 Teays Valley Rd Ste 100 , Hurricane WV 25526-9705. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Oxley, Kenneth D can be contacted via phone (304) 760-6040.

Contact Information

Primary practice address
3729 Teays Valley Rd Ste 100 Hurricane WV 25526-9705
Fax: (304) 760-6042
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1105 West Virginia

Profile Details

NPI number 1104239821
LBN Legal business name Oxley, Kenneth D
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2014
Last updated Nov 12th, 2020 - about 6 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 1104239821 NPPES
West Virginia MEDICAID 3810027771
West Virginia MEDICAID 7100309300
West Virginia MEDICAID 0106531

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