Individual
DR. KENNETH BURTON AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1600 MEDICAL CENTER DR, SUITE G500, HUNTINGTON, WV 25701-3656
(304) 691-1262
(304) 691-1666
Mailing address
1600 MEDICAL CENTER DR, SUITE G500, HUNTINGTON, WV 25701-3656
(304) 691-1262
(304) 691-1666
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
00295
KY
213E00000X
Podiatrist
Primary
00357
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2107501000
—
WV
05
—
80000060
—
KY
Enumeration date
08/15/2006
Last updated
11/17/2021
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