# ADVANCED PHYSICAL MEDICINE OF WEST VIRGINIA INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215375415
- **Authorized official:** KRISTYN BILLINGS (CREDENTIALING)
- **Authorized official phone:** (412) 655-4362

## Contact information

- **Practice address:** 699 BURROUGHS ST, MORGANTOWN, WV 26505-3346
- **Practice address phone:** (304) 225-9356
- **Practice address fax:** (304) 225-9358
- **Mailing address:** 699 BURROUGHS ST, MORGANTOWN, WV 26505-3346
- **Mailing address phone:** (304) 225-9356
- **Mailing address fax:** (304) 241-4510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084N0400X | Neurology Physician | — | NULL | — |
| 2084N0400X | Neurology Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/10/2013
- **Last updated:** 02/17/2020