Shane Colin Ciucci, PA-C
NPI #1215610191 in Charleston, West Virginia
Provider Information
- NPI Number
- 1215610191
- Entity Type
- Individual
- Name
- Shane Colin Ciucci, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Aug 8, 2023
- Last Updated
- Oct 22, 2025
Practice Location
- Address
- 501 MORRIS STREET
- City
- Charleston
- State
- West Virginia
- ZIP Code
- 25301
- Phone
- (304) 388-5432
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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