Dickenson, Joseph Kevin

Dickenson, Joseph Kevin is an sole proprietor health care provider with primary practice located at 2401 S Kanawha St Suite 104, Beckley WV 25801-6967. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Dickenson, Joseph Kevin can be contacted via phone (304) 894-8211.

Contact Information

Primary practice address
2401 S Kanawha St Suite 104 Beckley WV 25801-6967
Phone: (304) 894-8211
Fax: (304) 894-8213
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 19735 West Virginia

Profile Details

NPI number 1205806353
LBN Legal business name Dickenson, Joseph Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2006
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205806353 NPPES
West Virginia Other 19735 WV LICENSE
West Virginia MEDICAID 7300227000 WV LICENSE

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