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Individual

MR. CHRISTOPHER ANDREW KENNEDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
300 CORPORATE CENTER DRIVE, SCOTT DEPOT, WV 25560
(304) 691-6800
(304) 691-6751
Mailing address
1249 15TH STREET, SUITE 4093, HUNTINGTON, WV 25701-3662
(304) 691-6800
(304) 691-6751

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01012
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810006501
WV
Enumeration date
12/19/2005
Last updated
12/20/2021
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