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Individual

DR. KEVIN MICHAEL CONDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
546 ROUTE 20 SOUTH RD, BUCKHANNON, WV 26201-3904
(304) 472-2774
(304) 472-3927
Mailing address
546 ROUTE 20 SOUTH RD, BUCKHANNON, WV 26201-3904
(304) 472-2774
(304) 472-3927

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
WV2667
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0136833000
WV
01
WV2667
DENTAL LICENSE
WV
Enumeration date
03/16/2007
Last updated
05/09/2013
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