NPI 1003417023

Kenneth Earl Gwinn, FNPC

Practitioner Family Nurse Practitioner Rainelle, WV

Practice location

Address: 176 Medical Center Dr, Rainelle, WV 25962-1064
Phone: (304) 438-6188

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 107635 (WV)

Other Nurse Practitioner providers in West Virginia →

Registry record

NPI: 1003417023
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Nov 2020
Record last updated: 5 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.