# KENNETH M GAINER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1851445985
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 20425 | WV | — |
| 207W00000X | Ophthalmology Physician | 3584204 | OH | Yes |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 10/30/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 10439701 | CAQH | OH |
| 05 | — | 2003963000 | — | WV |
| 05 | — | 2524209 | — | OH |