Individual
WYATT ALLEN KINCELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
500 SUNCREST TOWN CENTRE DR, MORGANTOWN, WV 26505-1820
(304) 285-6781
(304) 285-6783
Mailing address
1371 PLUM RUN RD, MANNINGTON, WV 26582-7299
(304) 694-6255
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0013263
WV
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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