Individual
DR. KEVIN HENNENHOEFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
400 N JEFFERSON ST, LEWISBURG, WV 24901-1177
(304) 645-3220
(304) 647-1273
Mailing address
400 N JEFFERSON ST, LEWISBURG, WV 24901-1177
(304) 645-3220
(304) 647-1273
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
WV EDU
WV
Other
Enumeration date
04/24/2016
Last updated
04/24/2016
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