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Contact Information

GARY L KNEPP, DO
400 N JEFFERSON ST
LEWISBURG, WV24901
 Phone: 304-645-3220
 Fax: 304-645-4103
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for GARY L KNEPP · (Male)

NPI Number 1275576514
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/14/2006
Last updated 08/25/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036070966
  • WV License # 2223
  • IL Medicaid 36070966
  • WV Medicaid 3810009549
  • IL Other 794717 HEALTH ALLIANCE
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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