Individual
KENNETH D OXLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
3729 TEAYS VALLEY RD STE 100, HURRICANE, WV 25526-9705
(304) 760-6040
(304) 760-6042
Mailing address
PO BOX 1680, HUNTINGTON, WV 25717-1680
(304) 697-1396
(304) 697-2086
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1105
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0106531
—
OH
05
—
3810027771
—
WV
05
—
7100309300
—
KY
Enumeration date
06/10/2014
Last updated
11/12/2020
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