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Contact Information

KENNETH M MCINTYRE, MD
1725 W MONROE ST
WYTHEVILLE, VA24382
 Phone: 276-613-3978
 Fax: 276-228-2995
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KENNETH M MCINTYRE · (Male)

NPI # 1033120308
Status Active
Credentials MD
Entity Individual
Enumeration date 08/11/2006
Last updated 12/10/2020 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 0101231072
  • VA Medicaid 5859654
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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