National Provider Identifier Database

KENNETH B AVERY, DPM – NPI #1154334696
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

KENNETH B AVERY, DPM
1600 MEDICAL CENTER DR
SUITE G500
HUNTINGTON, WV25701-3656
Phone: 304-691-1262
Fax: 304-691-1666
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for KENNETH B AVERY

NPI Number 1154334696
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 08/15/2006
Last updated 11/17/2021 - About 5 years ago
Sole proprietor1 Yes
Identifiers
  • KY License #: 00295
  • WV License #: 00357
  • KY Medicaid: 80000060
  • WV Medicaid: 2107501000
Hospital affiliation n/a

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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