Organization
PINEVIEW DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH F HARDY JR. M.D. (CEO)
(304) 598-7546
Entity
Organization
Contact information
Practice address
1311 PINEVIEW DR, SUITE 200, MORGANTOWN, WV 26505-3276
(304) 598-7546
(304) 225-7551
Mailing address
1311 PINEVIEW DR, SUITE 200, MORGANTOWN, WV 26505-3276
(304) 598-7546
(304) 225-7551
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
17968
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001733619
BLUE CROSS BLUE SHIELD
WV
05
—
1802385000
—
WV
Enumeration date
03/29/2007
Last updated
11/10/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us