Organization
SUMMERSVILLE OUTPATIENT CENTER
Active
Other names
Summersville Urology Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH KINCELL (REVENUE CYCLE DIRECTOR)
(304) 883-0220
Entity
Organization
Contact information
Practice address
702 PROFESSIONAL PARK DR, SUMMERSVILLE, WV 26651-2018
(304) 883-2380
(304) 872-6854
Mailing address
400 FAIRVIEW HEIGHTS RD, SUMMERSVILLE, WV 26651-9308
(304) 883-0220
(304) 872-6854
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
11/23/2016
Last updated
11/23/2016
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