Individual
KEVIN J CONAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 MEDICAL CENTER DR, SUITE 4500, HUNTINGTON, WV 25701-3656
(304) 691-1400
(304) 691-1453
Mailing address
1600 MEDICAL CENTER DR, SUITE 4500, HUNTINGTON, WV 25701-3656
(304) 691-1400
(304) 691-1453
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
18072
WV
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
18072
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0093007000
—
WV
05
—
0150652
—
OH
05
—
64940620
—
KY
Enumeration date
03/23/2006
Last updated
11/30/2021
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