Individual
ISAAC KENNETH HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1320 MAPLEWOOD AVE, RONCEVERTE, WV 24970-8016
(304) 793-2220
Mailing address
2148 STONE HOUSE RD, CALDWELL, WV 24925-7026
(304) 290-0863
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24968
WV
208M00000X
Hospitalist Physician
24968
WV
Other
Enumeration date
05/06/2010
Last updated
09/22/2016
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