Individual
ALLYN MORGAN KING SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 CORPORATE CENTER DRIVE, 1ST FLOOR, SCOTT DEPOT, WV 25560
(304) 691-8870
(304) 691-1665
Mailing address
300 CORPORATE CENTER DR, 1ST FLOOR, SCOTT DEPOT, WV 25560
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
31379
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2019
Last updated
07/28/2022
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