Individual
KENTON M SCHROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(855) 988-2273
Mailing address
6700 ROBERT C. BRYD HEALTH SCIENCES CENTER, MORGANTOWN, WV 26506
(301) 501-1654
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
79726
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
115303
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
79726
REGISTERED NURSE
WV
Enumeration date
06/12/2022
Last updated
08/02/2023
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