| Kvptc, Llc | |
|
1313 Dunbar Ave, Dunbar, WV 25064 | |
| (304) 768-3307 | |
| (304) 768-3620 |
| Full Name | Kvptc, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1313 Dunbar Ave, Dunbar, West Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205933579 | NPI | - | NPPES |
| 0206427-000 | Medicaid | WV | |
| 0156761000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1112 (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kvptc, Llc 1313 Dunbar Ave, Dunbar, WV 25064 Ph: (304) 768-3307 | Kvptc, Llc 1313 Dunbar Ave, Dunbar, WV 25064 Ph: (304) 768-3307 |
Sarah Elizabeth Humble, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1313 Dunbar Ave, Dunbar, WV 25064 Phone: 304-400-4896 | |
Stacie Banzon, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1145 Dunbar Avenue, Dunbar, WV 25064 Phone: 304-400-4896 | |
Wesley Guyle Jett, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 Caldwell Ln, Dunbar, WV 25064 Phone: 304-744-4761 | |
Jennifer Diane Moore, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 Caldwell Ln, Dunbar, WV 25064 Phone: 304-744-4761 | |
Eulalio Albis, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1313 Dunbar Avenue, Dunbar, WV 25064 Phone: 304-768-3307 |