Workman, Kevin A

Workman, Kevin A is an individual health care provider with primary practice located at 111 Davis Stuart Road , Ronceverte WV 24970. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Workman, Kevin A can be contacted via phone (304) 647-3987.

Contact Information

Primary practice address
111 Davis Stuart Road Ronceverte WV 24970
Fax: (304) 647-3990
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 001069 West Virginia

Profile Details

NPI number 1922184936
LBN Legal business name Workman, Kevin A
Credentials MPT/ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922184936 NPPES
West Virginia MEDICAID 0156783000
West Virginia Other 000159932
West Virginia Other 550755833
West Virginia Other 550755833

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