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Individual

DR. KENNETH LYNN MULDREW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(855) 988-2273
Mailing address
PO BOX 780, MORGANTOWN, WV 26507-0780
(681) 342-2133
(304) 842-2333

Taxonomy

Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
36226
WV
207ZC0006X
Clinical Pathology Physician
Primary
R0286
TX
207ZM0300X
Medical Microbiology Physician
36226
WV
207ZM0300X
Medical Microbiology Physician
MD37080
TN
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
36226
WV
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
MD37080
TN
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
36226
WV
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
MD37080
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05380516
MS
Enumeration date
06/25/2009
Last updated
04/03/2026
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