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Individual

KEVIN SCOTT MCCANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4600 ROUTE 152, LAVALETTE, WV 25535-9702
(304) 697-9480
(304) 697-9491
Mailing address
4600 ROUTE 152, LAVALETTE, WV 25535-9702
(304) 697-9480
(304) 697-9491

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18651
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0047641000
WV
05
2016179
OH
05
64942063
KY
Enumeration date
03/31/2006
Last updated
11/24/2021
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