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Organization

JOSEPH KENNELL PHD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBBIE M TIPPENS (OFFICE MANAGER)
(304) 865-0274
Entity
Organization

Contact information

Practice address
3705 EMERSON AVE, PARKERSBURG, WV 26104-1118
(304) 865-0272
(304) 865-0265
Mailing address
3705 EMERSON AVEUNE, PARKERSBURG, WV 26104-1118
(304) 865-0272
(304) 865-0265

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
557
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0163900000
WV
Enumeration date
07/21/2014
Last updated
07/25/2014
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