KEVIN R GARNEAU


Address: 2500 Hosptial Drive, Martinsburg, WV 25401
Phone: 3042641000

KEVIN R GARNEAU (NPI# 1306890884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306890884
Entity Type Individual
Full Name KEVIN R GARNEAU
Credential PA-C
Practice Address 2500 Hosptial Drive
Martinsburg
WV 25401
Mailing Address Po Box 1150
Martinsburg
WV 25402-1150
Practice Telephone 3042641000
Practice Fax Number 3042641374
Mailing Telephone 3042641000
Mailing Fax Number 3042641374
Enumeration Date 2006-05-20
Last Update Date 2010-03-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
328 MT Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MT 4300031 05
MT 4305539 05
MT BC/BS 945323 01
MT STATE OF MT PROVIDER LICE 328 01
DEA MG0913360 01

Office Location

Street Address 2500 HOSPTIAL DRIVE
City MARTINSBURG
State WV
Zip Code 25401

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962020537 Christina Anne Williams Nurse Practitioner 2100 Hospital Drive, Martinsburg, WV 25401 2020-07-10
1013530633 Pdi Health Wv LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 126 E. Burke Street, Martinsburg, WV 25401 2020-05-19
1699293035 Tiffany Curry Social Worker 653 Winchester Avenue, Martinsburg, WV 25401 2017-09-06
1972042992 Berkeley County Council Counselor 800 Emmett Rousch Drive, Martinsburg, WV 25401 2017-02-23
1023569449 Heidi Crawford Registered Nurse 401 South College Street, Berkeley County Board of Ed, Martinsburg, WV 25401 2016-10-20
1578911293 Christina Marie Van Hilst Nurse Practitioner 1001 Sushruta Dr, Martinsburg, WV 25401 2016-06-03
1578926549 Barathy Radhakrishnan Speech-Language Pathologist 401 Queen Street, Berkeley County Board of Education, Martinsburg, WV 25401 2016-03-29
1972985638 Wellco Dme LLC Durable Medical Equipment & Medical Supplies 107 Tavern Rd, Martinsburg, WV 25401 2015-06-18
1457731960 Patrick Hamilton Noland Dentist 1003 Sushruta Dr., Martinsburg, WV 25401 2015-06-01
1801296330 Terry Harden Massage Therapist 601 South Raliegh St., Martinsburg, WV 25401 2014-09-03
Find all providers in zip 25401

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609000900 Raymond L Eifel Physician Assistant 2000 Foundation Way Ste 3400, Martinsburg, WV 25401-9583 2009-05-14
1043239726 Mark Alan Brown Physician Assistant 121 Fawn Haven Ct, Martinsburg, WV 25401-5285 2006-07-19
1669497152 Denise Marie Pettit Physician Assistant 101 Marcley Drive, Martinsburg, WV 25401 2006-07-13
1407100860 James Allen Payne Physician Assistant 101 Marcley Dr, Martinsburg, WV 25401-2977 2012-11-06
1528359825 Candice Marie Moreland Physician Assistant 101 Marcley Dr, Martinsburg, WV 25401-2977 2011-04-21
1366681652 Heather Reay Jewell Physician Assistant 101 Marcley Dr, Martinsburg, WV 25401-2977 2009-02-11
1275717449 Tuyet Mai Dang Houston Physician Assistant 101 Marcley Dr, Martinsburg, WV 25401-2977 2007-12-24
1851300636 Samuel Amaro Physician Assistant 510 Butler Ave, Martinsburg, WV 25401-9990 2006-08-07
1609824085 Mark Joseph Contrael Physician Assistant 510 Butler Ave, Martinsburg, WV 25405-9990 2006-05-05
1598745432 Michael Joseph Tate Physician Assistant 510 Butler Ave, Martinsburg, WV 25405-9990 2006-01-18
Find all providers in MARTINSBURG

Competitor

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City MARTINSBURG
Zip Code 25401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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