Individual
KENNETH M GAINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 N 5TH ST, SUITE 201, MARTINS FERRY, OH 43935-1582
(740) 633-6671
Mailing address
222 N 5TH ST, SUITE 201, MARTINS FERRY, OH 43935-1582
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
20425
WV
207W00000X
Ophthalmology Physician
Primary
3584204
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10439701
CAQH
OH
05
—
2003963000
—
WV
05
—
2524209
—
OH
Enumeration date
01/23/2007
Last updated
10/30/2007
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