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Contact Information

KIMBERLY A HENNON, MD
100 MEDICAL BLVD
CANONSBURG HOSPITAL
CANONSBURG, PA15317
 Phone: 724-745-3077
 Fax: 724-746-8579
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for KIMBERLY A HENNON · (Female)

NPI Number 1548260573
Status Active
Credentials MD
Entity Individual
Enumeration date 08/01/2005
Last updated 01/22/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD057343L
  • OH Medicaid 2235861
  • PA Medicaid 0015659650002
  • WV Medicaid 1809907000
Hospital affiliation(s) Not Available
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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