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390 Carskadon Ln Keyser WV 26726-2123 | |
| (304) 788-6655 | |
| (304) 788-6082 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine - Pulmonary Disease |
| Location | 390 Carskadon Ln, Keyser, West Virginia |
| Authorized Official Name and Position | Sue A Wells (DIRECTOR PATIENT FINANCIAL SERVICES) |
| Authorized Official Contact | 3045973525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
100 Pin Oak Ln Keyser WV 26726-5908 Ph: () - | 390 Carskadon Ln Keyser WV 26726-2123 Ph: (304) 788-6655 |
| NPI Number | 1093221103 |
|---|---|
| Provider Enumeration Date | 12/27/2017 |
| Last Update Date | 12/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093221103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | (* (Not Available)) | Primary |
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