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Contact Information

CHRISTOPHER A KENNEDY, PA-C
300 CORPORATE CENTER DRIVE
SCOTT DEPOT, WV25560
 Phone: 304-691-6800
 Fax: 304-691-6751
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CHRISTOPHER A KENNEDY · (Male)

NPI Number 1255317640
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 12/19/2005
Last updated 12/20/2021 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • WV License # 01012
  • WV Medicaid 3810006501
Hospital affiliation(s)
  • CABELL-HUNTINGTON HOSPITAL INC - (Acute Care)
    1340 HAL GREER BOULEVARD
    HUNTINGTON, WV 25701
  • CHARLESTON AREA MEDICAL CENTER - (Acute Care)
    501 MORRIS STREET
    CHARLESTON, WV 25301
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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