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NPI Code Detail

MEDICARE: DR. KENNETH CRAIG BARNEY D.D.S.

MEDICARE:  DR. KENNETH CRAIG BARNEY  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry2665WV

General Provider Information

NPI Number : 1164508586
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KENNETH CRAIG BARNEY D.D.S.
Provider Business Mailing Address
First Line : 2136 MOUNTAIN LAKE RD
Second Line :
City : HEDGESVILLE
State : WV
Zip : 25427-3863
Country : US
Telephone Number : 304-754-8662
Fax Number :
Provider Business Practice Location Address
First Line : 101 NORTH MARY STREET
Second Line :
City : HEDGESVILLE
State : WV
Zip : 25427
Country : US
Telephone Number : 304-754-8803
Fax Number : 304-754-8039
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2006
Last Update Date : 07/08/2007

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Directions to “ DR. KENNETH CRAIG BARNEY D.D.S.” Practice Location

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