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Individual

DR. KENNETH L MAPES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2900 1ST AVE, HUNTINGTON, WV 25702-1241
(419) 260-2356
Mailing address
3221 N BOLANDER RD, GENOA, OH 43430-9739
(419) 855-0234

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01068774A
IN
207P00000X
Emergency Medicine Physician
Primary
26955
WV
207P00000X
Emergency Medicine Physician
35074338
OH
207P00000X
Emergency Medicine Physician
ME117705
FL
208D00000X
General Practice Physician
26955
WV
208D00000X
General Practice Physician
35074338
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000246975
ANTHEM
OH
05
2148563
OH
05
4532000
MI
Enumeration date
08/11/2005
Last updated
11/27/2023
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