Individual
LINDA L KESSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
503 ROOSEVELT BLVD, ELEANOR, WV 25070
(304) 586-0001
(304) 586-1301
Mailing address
97 GREAT TEAYS BLVD STE 6, SCOTT DEPOT, WV 25560-9816
(304) 757-6999
(304) 757-3252
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15818
WV
207V00000X
Obstetrics & Gynecology Physician
15818
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000178452
ANTHEM
WV
01
—
00058048
RR MEDICARE
WV
01
—
001709560
MT. STATE
WV
05
—
0042471000
—
WV
05
—
0839150
—
OH
05
—
1487634275
—
WV
05
—
64698137
—
KY
Enumeration date
01/19/2006
Last updated
08/02/2019
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