Individual
KENNETH RYAN MEADOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
306 STANAFORD RD, BECKLEY, WV 25801-3142
(304) 255-3302
Mailing address
306 STANAFORD RD, BECKLEY, WV 25801-3142
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001658
WV
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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