NPI 1053419051
Kevin Austin Lewis, DDS
Practice location
- Address
- 1 Medical Center Drive, Clarksburg, WV 26301
- Phone
- (304) 623-7640
- Mailing address
- Rr 5 Box 579, Clarksburg, WV 26301-9323
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1053419051
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 21 Sep 2006
- Record last updated
- 8 Jul 2007
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.