KENNETH ANDREW HUMPHREY MD
NPI 1396422127
Student in an Organized Health Care Education/Training Program in Beckley, WV

Active since July 03, 2023PECOS Enrolled
252 RURAL ACRES DR, BECKLEY, WV 25801(304) 252-8555 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kenneth Andrew Humphrey Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH ANDREW HUMPHREY MD (NPI 1396422127) is an individual student in an organized health care education/training program in Beckley, West Virginia, licensed in West Virginia (1502) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS, is affiliated with Raleigh General Hospital, and is a graduate of Jc Edwards School Of Medicine, Marshall University (2023).

NPPES Registry Identity

NPI1396422127
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKENNETH ANDREW HUMPHREYCredential: MD
Location Address252 RURAL ACRES DRBeckley, WV 25801-3503
Mailing Address252 Rural Acres DrBeckley, WV 25801-3503 · (304) 252-8555
Sole ProprietorNo
Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 2023
Enumeration DateJuly 3, 2023
NPPES CertifiedJuly 3, 2023
NPI 1396422127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in WV · 1502
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
252 RURAL ACRES DR, Beckley, WV 25801

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kenneth Andrew Humphrey Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133574163
PECOS Enrollment IDI20260609001119
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Raleigh General Hospital

Acute Care Hospitals · Beckley, WV
1/5 CMS rating
OwnershipProprietary
CMS Certification Number510070
Location1710 Harper RoadBeckley, WV 25801 · Raleigh County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
252 RURAL ACRES DR
BECKLEY, WV 25801
Family Medicine
252 RURAL ACRES DR
BECKLEY, WV 25801
Pharmacist
252 RURAL ACRES DR
BECKLEY, WV 25801
Family Medicine
252 RURAL ACRES DR
BECKLEY, WV 25801
Family Medicine
252 RURAL ACRES DR
BECKLEY, WV 25801
Pharmacy (Clinic Pharmacy)
252 RURAL ACRES DR
BECKLEY, WV 25801
Family Medicine
252 RURAL ACRES DR
BECKLEY, WV 25801
Student in an Organized Health Care Education/Training Program
252 RURAL ACRES DR
BECKLEY, WV 25801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Humphrey's NPI number?

The NPI number for Kenneth Humphrey is 1396422127. It was assigned to this individual provider in the NPPES registry on July 3, 2023.

Where is Kenneth Humphrey located?

Kenneth Humphrey practices at 252 Rural Acres Dr, Beckley, WV 25801. The listed phone number is (304) 252-8555.

What is Kenneth Humphrey's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kenneth Humphrey enrolled in Medicare?

Yes. Kenneth Humphrey is registered in the Medicare PECOS enrollment system.

Is Kenneth Humphrey affiliated with any hospitals?

According to CMS data, Kenneth Humphrey is affiliated with Raleigh General Hospital.

When was this NPI record last updated?

The NPPES record for Kenneth Humphrey was last updated on July 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.