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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 Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for KENNETH B AVERY · (Male)

NPI Number 1154334696
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 08/15/2006
Last updated 11/17/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # 00295
  • WV License # 00357
  • KY Medicaid 80000060
  • WV Medicaid 2107501000
Hospital affiliation(s)
  • CABELL-HUNTINGTON HOSPITAL INC - (Acute Care)
    1340 HAL GREER BOULEVARD
    HUNTINGTON, WV 25701
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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