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Organization
PINEVIEW DERMATOLOGY PLLC
Active
Organization
PINEVIEW DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH F HARDY JR. M.D. (CEO)
(304) 598-7546
Entity
Organization
Contact information
Practice address
1311 PINEVIEW DR, SUITE 200, MORGANTOWN, WV 26505-3276
(304) 598-7546
(304) 225-7551
Mailing address
1311 PINEVIEW DR, SUITE 200, MORGANTOWN, WV 26505-3276
(304) 598-7546
(304) 225-7551
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
17968
WV
Other
Enumeration date
03/29/2007
Last updated
11/10/2009
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