| Kelly M Pitsenbarger Md | |
|
314 George St Beckley WV 25801-2653 | |
| (304) 255-2426 | |
| Not Available |
| Full Name | Kelly M Pitsenbarger Md |
|---|---|
| Speciality | Family Medicine |
| Location | 314 George St, Beckley, West Virginia |
| Authorized Official Name and Position | Kelly M Pitsenbarger (OWNER) |
| Authorized Official Contact | 3042552426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly M Pitsenbarger Md 314 George St Beckley WV 25801-2653 Ph: () - | Kelly M Pitsenbarger Md 314 George St Beckley WV 25801-2653 Ph: (304) 255-2426 |
| NPI Number | 1871782250 |
|---|---|
| Provider Enumeration Date | 10/22/2007 |
| Last Update Date | 10/22/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871782250 | NPI | - | NPPES |
| 0057171000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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