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Individual

GREGORY KRIVCHENIA

Active
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Individual

GREGORY KRIVCHENIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
14610
WV
207X00000X
Orthopaedic Surgery Physician
Primary
35046510
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000117049
ANTHEM
01
000077407
BCBS
05
00970530000
WV
05
0631365
OH
01
200006583
RR MEDICARE
Enumeration date
05/02/2006
Last updated
06/29/2026
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