Provider Demographics
NPI:1972810034
Name:TRENARY, KENNETH RAY II (RPH)
Entity type:Individual
Prefix:MR
First Name:KENNETH
Middle Name:RAY
Last Name:TRENARY
Suffix:II
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1903
Mailing Address - Street 2:
Mailing Address - City:INWOOD
Mailing Address - State:WV
Mailing Address - Zip Code:25428-1903
Mailing Address - Country:US
Mailing Address - Phone:304-229-2400
Mailing Address - Fax:304-229-2906
Practice Address - Street 1:5054 GERRARDSTOWN ROAD
Practice Address - Street 2:
Practice Address - City:INWOOD
Practice Address - State:WV
Practice Address - Zip Code:25428
Practice Address - Country:US
Practice Address - Phone:304-229-2400
Practice Address - Fax:304-229-2906
Is Sole Proprietor?:No
Enumeration Date:2010-09-09
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0005079183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist