Individual
KENNETH MEADOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PRSS
Contact information
Practice address
101 S EISENHOWER DR, BECKLEY, WV 25801-4929
(304) 256-7100
(304) 256-7121
Mailing address
101 S EISENHOWER DR, BECKLEY, WV 25801-4929
(304) 256-7100
(304) 256-7121
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
22-985
WV
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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