Kevin C. Lucky DDS Pllc
NPI #1235258757 in Beckley, West Virginia
Provider Information
- NPI Number
- 1235258757
- Entity Type
- Organization
- Organization Name
- Kevin C. Lucky DDS Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Mar 28, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1110 JOHNSTOWN ROAD
- City
- Beckley
- State
- West Virginia
- ZIP Code
- 25801
- Phone
- (304) 255-0717
Authorized Official
- Name
- DR. KEVIN CHARLIE LUCKY, DDS
- Title
- OWNER
- Phone
- (304) 872-3919
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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