Individual
THOMAS G KENAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
11166
WV
207RN0300X
Nephrology Physician
35052389
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000043718
MT ST BLUE CROSS BS
WV
05
—
0076890000
—
WV
05
—
0434631
—
OH
01
—
11166B
HPUOV
WV
Enumeration date
03/31/2006
Last updated
08/19/2019
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