Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 18072 | WV |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 18072 | WV |
NPI | 1629037908 |
---|---|
Provider Name | Kevin J Conaway |
First Address | Huntington, WV 25701-3656 |
Second Address | Huntington, WV 25701-3656 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2006 |
Last Update Date | 30/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0093007000 | (05) | WV |
0150652 | (05) | OH |
64940620 | (05) | KY |
G02390 | (02) | WV |