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Individual

KELLY P. CUMMINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
2311 OHIO AVE, PARKERSBURG, WV 26101-2559
(304) 422-5114
(304) 422-5751
Mailing address
2311 OHIO AVE, PARKERSBURG, WV 26101-2559
(304) 422-5114
(304) 422-5751

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA580
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000332377
BLUECROSS BLUESHIELD
KY
05
95690046
KY
Enumeration date
01/30/2006
Last updated
04/10/2012
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