Individual
KENNETH WORKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PRS
Contact information
Practice address
412 2ND AVE, GALLIPOLIS, OH 45631-1130
(740) 446-6471
Mailing address
412 2ND AVE, GALLIPOLIS, OH 45631-1130
(740) 446-6471
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.004558
OH
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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