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Contact Information

KENNETH G JUDSON JR, DO
2000 MON HEALTH MEDICAL PARK DR STE 2300
MORGANTOWN, WV26505-1168
 Phone: 304-599-8802
 Fax: 304-599-5607
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KENNETH G JUDSON JR · (Male)

NPI Number 1770525891
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/12/2006
Last updated 12/22/2022 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • PA License # OS010445L
  • WV License # 2110
  • OH Medicaid 2670622
  • PA Medicaid 0018530940003
  • WV Medicaid 2670622
Hospital affiliation(s)
  • UPMC PRESBYTERIAN SHADYSIDE - (Acute Care)
    200 LOTHROP STREET
    PITTSBURGH, PA 15213
  • WEST VIRGINIA UNIVERSITY HOSPITALS - (Acute Care)
    MEDICAL CENTER DRIVE
    MORGANTOWN, WV 26506
  • WESTERN MARYLAND REGIONAL MEDICAL CENTER - (Acute Care)
    12500 WILLOWBROOK ROAD
    CUMBERLAND, MD 21502
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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