J Kevin Dickenson Md

LBN: J Kevin Dickenson Md
J Kevin Dickenson Md is an health care organization with primary practice located at 2401 S Kanawha St Suite 104, Beckley WV 25801-6967. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. J Kevin Dickenson Md can be contacted via phone (304) 894-8211, or through Dickenson, Joseph Kevin 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:
Map and Directions
Authorized official contact:
Name: Dickenson, Joseph Kevin Doctor of Medicine (MD)
Phone: (304) 894-8211

Health care specialties

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

Profile Details

NPI number 1043394471
LBN Legal business name J Kevin Dickenson Md
DBA Doing business as
Authorized official Dickenson, Joseph Kevin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2006
Last updated Apr 30th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043394471 NPPES
West Virginia Other 001759805 BC BS GROUP ID

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