Individual
MR. KEVIN D TREMBUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
699 BURROUGHS ST, MORGANTOWN, WV 26505-3361
(304) 225-9355
(304) 225-9358
Mailing address
699 BURROUGHS ST, MORGANTOWN, WV 26505-3361
(304) 225-9355
(304) 225-9358
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0769
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001708517
BLUE CROSS BLUE SHEILD
WV
01
—
1083943484
CIGNA GOVERNMENT SERVICES
WV
01
—
11451727
CAQH
WV
01
—
271821
CARELINK
WV
01
—
364502237
EMPLOYER IDENTIFICATION #
WV
05
—
3810003265
—
WV
01
—
5642046
FIRST HEALTH
WV
01
—
7254278
AETNA
WV
01
—
P00337891
RAIL ROAD MEDICARE
WV
Enumeration date
09/25/2006
Last updated
07/29/2010
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