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Individual

DR. WILLIAM KENDALL WYATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, RN

Contact information

Practice address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 388-5432
Mailing address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 388-2006

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
29900
WV
208M00000X
Hospitalist Physician
Primary
29900
WV
208M00000X
Hospitalist Physician
35.138869
OH

Other

Enumeration date
03/27/2017
Last updated
02/19/2021
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