Individual
KENNETH C NANNERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL PARK, WHEELING, WV 26003-6379
(304) 233-2455
(304) 233-6073
Mailing address
PO BOX 6732, WHEELING, WV 26003-0656
(304) 233-2455
(304) 233-6073
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
19172
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0062951000
—
WV
Enumeration date
02/26/2007
Last updated
07/08/2007
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