Organization Name: | KENNETH C. BARNEY DDS INC |
NPI Number: | 1730442286 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KENNETH CRAIG BARNEY (PRESIDENT) |
Mailing Address: | 101 North Mary St. Hedgesville |
State: | WV US |
Postal Code: | 254276984 |
Phone Number: | 3047548803 |
Fax Number: | 3047548039 |
NPI Enumeration Date: | 06/20/2012 |
NPI Last Update Date: | 07/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | 2665 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WV |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |