NPI 1043394471

J Kevin Dickenson MD

Organisation Surgery Physician Beckley, WV

Practice location

Address: 2401 S Kanawha St Suite 104, Beckley, WV 25801-6967
Phone: (304) 894-8211
Fax: (304) 894-8213
Mailing address: PO Box 207, Beckley, WV 25802-0207

Authorised official

Name: Joseph Kevin Dickenson
Title: Owner
Phone: (304) 894-8211

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 19735 (WV)

Other Surgery providers in West Virginia →

Registry record

NPI: 1043394471
Entity type: Organization
NPI issued: 24 Oct 2006
Record last updated: 30 Apr 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.