Individual
ROBERT L HIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
707 CHESTNUT ST, SOUTH CHARLESTON, WV 25309-2003
(304) 768-8500
(304) 768-8530
Mailing address
220 RIDGE DR, DUNBAR, WV 25064-1310
(304) 744-1949
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01053
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0055497000
—
WV
Enumeration date
08/14/2006
Last updated
07/08/2007
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