Individual
CHARLES SCOTT KINGERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PRSS
Contact information
Practice address
2333 MACCORKLE AVE STE 201, SAINT ALBANS, WV 25177-2074
(304) 766-0060
Mailing address
2333 MACCORKLE AVE STE 201, SAINT ALBANS, WV 25177-2074
(304) 766-0060
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
24-981
WV
Other
Enumeration date
06/10/2024
Last updated
11/04/2024
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