| Chris N Kennedy, DO | |
|
597 Liberty St, West Milford, WV 26451-6801 | |
| (304) 745-4568 | |
| (304) 326-3700 |
| Full Name | Chris N Kennedy |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 19 Years |
| Location | 597 Liberty St, West Milford, West Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326225350 | NPI | - | NPPES |
| 2272 | Other | WV | WV LICENSE 2272 |
| 3810015306 | Medicaid | WV |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Care Of West Virginia, Inc. | 0446232987 | 79 |
| Waterfront Urgent Care Pllc | 7416346499 | 4 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609042266 PECOS PAC ID: 0446232987 Enrollment ID: O20040607001043 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1164653457 PECOS PAC ID: 0446232987 Enrollment ID: O20071024000166 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104175058 PECOS PAC ID: 0446232987 Enrollment ID: O20130226000494 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821349309 PECOS PAC ID: 0446232987 Enrollment ID: O20130226000532 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912258492 PECOS PAC ID: 0446232987 Enrollment ID: O20130226000561 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699024547 PECOS PAC ID: 0446232987 Enrollment ID: O20130226000587 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114277050 PECOS PAC ID: 0446232987 Enrollment ID: O20130226000610 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104177674 PECOS PAC ID: 0446232987 Enrollment ID: O20130226000624 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396096863 PECOS PAC ID: 0446232987 Enrollment ID: O20130226000634 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619103041 PECOS PAC ID: 0446232987 Enrollment ID: O20130829000868 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770917577 PECOS PAC ID: 0446232987 Enrollment ID: O20131219001230 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619316999 PECOS PAC ID: 0446232987 Enrollment ID: O20140226000347 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356780639 PECOS PAC ID: 0446232987 Enrollment ID: O20140226002236 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073944658 PECOS PAC ID: 0446232987 Enrollment ID: O20140320000490 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649610437 PECOS PAC ID: 0446232987 Enrollment ID: O20140331000001 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992144273 PECOS PAC ID: 0446232987 Enrollment ID: O20140407000404 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649610445 PECOS PAC ID: 0446232987 Enrollment ID: O20140407001269 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477992915 PECOS PAC ID: 0446232987 Enrollment ID: O20140407001553 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386083673 PECOS PAC ID: 0446232987 Enrollment ID: O20140508002191 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053742668 PECOS PAC ID: 0446232987 Enrollment ID: O20140513002114 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790110047 PECOS PAC ID: 0446232987 Enrollment ID: O20140603002111 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447699723 PECOS PAC ID: 0446232987 Enrollment ID: O20140603002245 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619348844 PECOS PAC ID: 0446232987 Enrollment ID: O20160310000180 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619464369 PECOS PAC ID: 0446232987 Enrollment ID: O20180808001012 |
| Entity Name | Waterfront Urgent Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902477714 PECOS PAC ID: 7416346499 Enrollment ID: O20211112000773 |
| Mailing Address | Practice Location Address |
|---|---|
| Chris N Kennedy, DO 597 Liberty St, West Milford, WV 26451-6801 Ph: (304) 745-4568 | Chris N Kennedy, DO 597 Liberty St, West Milford, WV 26451-6801 Ph: (304) 745-4568 |