Organization · Type 2 NPI
Michael E Kilkenny MD
Clinic/Center · Wayne, WV
NPI number
1639264146
Active
Practice location
514 Hendricks Street
Wayne, WV 25570-0729
Fax (304) 272-3335
Mailing address
PO Box 729
Wayne, WV 25570-0729
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 13536 (WV) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
About NPI 1639264146
Michael E Kilkenny MD's National Provider Identifier is 1639264146, issued on Oct 3, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Wayne, WV. The record was last updated on Aug 22, 2020.