J Kevin Dickenson MD

NPI #1043394471 in Beckley, West Virginia

Provider Information

NPI Number: 1043394471
Entity Type: Organization
Organization Name: J Kevin Dickenson MD
Primary Specialty: Surgery
Enumeration Date: Oct 24, 2006
Last Updated: Apr 30, 2009

Practice Location

Address: 2401 S KANAWHA ST
Address 2: SUITE 104
City: Beckley
State: West Virginia
ZIP Code: 25801-6967
Phone: (304) 894-8211

Authorized Official

Name: DR. JOSEPH KEVIN DICKENSON, MD
Title: OWNER
Phone: (304) 894-8211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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