Individual
KENNETH ANDREW PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 MACCORKLE AVE SE STE B16, CHARLESTON, WV 25304-1227
(304) 388-5848
(304) 388-9654
Mailing address
3200 MACCORKLE AVENUE, SUITE B16, CHARLESTON, WV 25304
(304) 388-5848
(304) 388-9654
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
323657
LA
207Q00000X
Family Medicine Physician
Primary
323657
LA
208M00000X
Hospitalist Physician
28966
WV
Other
Enumeration date
06/24/2009
Last updated
08/03/2020
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