Individual
DR. KEVIN AUSTIN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1 MEDICAL CENTER DRIVE, CLARKSBURG, WV 26301
(304) 623-7640
Mailing address
RR 5 BOX 579, CLARKSBURG, WV 26301-9323
(304) 745-5215
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
WV3398
WV
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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