Individual
DR. KIMBERLY ANN HENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 MEDICAL BLVD, CANONSBURG HOSPITAL, CANONSBURG, PA 15317
(724) 745-3077
(724) 746-8579
Mailing address
320 E NORTH AVE, AGH EMERGENCY ASSOCS, PITTSBURGH, PA 15212
(412) 359-4138
(412) 359-8874
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD057343L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015659650002
—
PA
05
—
1809907000
—
WV
05
—
2235861
—
OH
Enumeration date
08/01/2005
Last updated
01/22/2013
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