Dunavant, Kelly W

Dunavant, Kelly W is an individual health care provider with primary practice located at 597 Liberty St , West Milford WV 26451-6801. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Dunavant, Kelly W can be contacted via phone (304) 745-4568.

Contact Information

Primary practice address
597 Liberty St West Milford WV 26451-6801
Fax: (304) 326-3700
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2195 West Virginia
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 2195 West Virginia

Profile Details

NPI number 1609047109
LBN Legal business name Dunavant, Kelly W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2008
Last updated Aug 24th, 2022 - about 2 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 1609047109 NPPES
West Virginia Other 2195 WV MEDICAL LICENSE

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