# PINEVIEW DERMATOLOGY PLLC

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

## Provider details

- **NPI number:** 1235259938
- **Authorized official:** DR. KENNETH F HARDY JR. M.D. (CEO)
- **Authorized official phone:** (304) 598-7546

## Contact information

- **Practice address:** 1311 PINEVIEW DR, SUITE 200, MORGANTOWN, WV 26505-3276
- **Practice address phone:** (304) 598-7546
- **Practice address fax:** (304) 225-7551
- **Mailing address:** 1311 PINEVIEW DR, SUITE 200, MORGANTOWN, WV 26505-3276
- **Mailing address phone:** (304) 598-7546
- **Mailing address fax:** (304) 225-7551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 17968 | WV | Yes |

## Other

- **Enumeration date:** 03/29/2007
- **Last updated:** 11/10/2009