Individual
DR. KELLY W DUNAVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
597 LIBERTY ST, WEST MILFORD, WV 26451-6801
(304) 745-4568
(304) 326-3700
Mailing address
597 LIBERTY ST, WEST MILFORD, WV 26451-6801
(304) 745-4568
(304) 326-3700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2195
WV
208VP0000X
Pain Medicine Physician
Primary
2195
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2195
WV MEDICAL LICENSE
WV
Enumeration date
03/12/2008
Last updated
08/24/2022
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