Ivory, Kevin S

Ivory, Kevin S is an individual health care provider with primary practice located at 700 Oakmound Rd , Clarksburg WV 26301-9398. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Ivory, Kevin S can be contacted via phone (304) 623-6330.

Contact Information

Primary practice address
700 Oakmound Rd Clarksburg WV 26301-9398
Phone: (304) 623-6330
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1770182354
LBN Legal business name Ivory, Kevin S
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2020
Last updated Feb 12th, 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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