Kennerly Surgical Pllc
NPI #1548587496 in Pt Pleasant, West Virginia
Provider Information
- NPI Number
- 1548587496
- Entity Type
- Organization
- Organization Name
- Kennerly Surgical Pllc
- Primary Specialty
- Surgery
- Enumeration Date
- Apr 30, 2010
- Last Updated
- Apr 30, 2010
Practice Location
- Address
- 809 WILLOW LN
- City
- Pt Pleasant
- State
- West Virginia
- ZIP Code
- 25550-2018
- Phone
- (304) 521-2230
Authorized Official
- Name
- R MICHAEL KENNERLY, MD
- Title
- MD
- Phone
- (304) 521-2230
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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