Organization
PULMONARY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA KIDD (BILLING)
(304) 346-0311
Entity
Organization
Contact information
Practice address
3100 MACCORKLE AVE SE, STE 805, CHARLESTON, WV 25304-1223
(304) 346-0311
(304) 346-5535
Mailing address
3100 MACCORKLE AVE SE, STE 805, CHARLESTON, WV 25304-1223
(304) 346-0311
(304) 346-5535
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16919
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0075240000
—
WV
01
—
1629061973
PERSONAL NPI
WV
01
—
16919
LICENSE
WV
01
—
CI4982
MEDICARE RAILROAD
WV
Enumeration date
03/23/2007
Last updated
03/07/2023
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