Organization
MAIN STREET FAMILY PRACTICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH SELLS DO (PRESIDENT)
(304) 752-3400
Entity
Organization
Contact information
Practice address
533 MAIN ST, LOGAN, WV 25601-3809
(304) 752-3400
(304) 752-8138
Mailing address
533 MAIN ST, LOGAN, WV 25601-3809
(304) 752-3400
(304) 752-8138
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
016632
WV
Other
Enumeration date
07/02/2006
Last updated
04/24/2026
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