Individual
MR. KENNETH NEIL DIPPEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A. -C
Contact information
Practice address
3200 MACCORKLE AVE. SE, CAMC MEMORIAL HOSPITAL, CHARLESTON, WV 25304
(304) 388-8199
(304) 388-8195
Mailing address
811 SOMERSET DR, CHARLESTON, WV 25302-2735
(304) 346-4311
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
00710
WV
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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