Organization Active NPI

Michael E Kilkenny MD

  • Clinic/Center
  • Wayne, WV
National Provider Identifier
1639264146
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
13536 Issued in WV
Legal business name
MICHAEL E KILKENNY MD
Doing business as
Better Health Medical Services, PLLC
Practice address
514 Hendricks Street
Wayne, WV 25570-0729
Phone
(304) 272-3005
Fax
(304) 272-3335
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael E Kilkenny, M.D.
Title
Owner
Phone
(304) 272-3005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 13536 WV Primary

Addresses

Primary practice location

514 Hendricks Street
Wayne, WV 25570-0729

Mailing address

PO Box 729
Wayne, WV 25570-0729
Phone (304) 272-3005

Other identifiers 1

IdentifierTypeStateIssuer
0050099000MedicaidWV

Other names 1

  • Better Health Medical Services, PLLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639264146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 729",
            "city": "WAYNE",
            "state": "WV",
            "postal_code": "255700729",
            "telephone_number": "304-272-3005",
            "fax_number": "304-272-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 HENDRICKS STREET",
            "city": "WAYNE",
            "state": "WV",
            "postal_code": "255700729",
            "telephone_number": "304-272-3005",
            "fax_number": "304-272-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL E KILKENNY MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KILKENNY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-272-3005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WV",
            "license": "13536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0050099000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Better Health Medical Services, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wayne, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.