Individual
DR. JEFFREY KENT BATES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
707 CHESTNUT ST, SOUTH CHARLESTON, WV 25309-2003
(304) 768-8500
(304) 768-8530
Mailing address
707 CHESTNUT ST, SOUTH CHARLESTON, WV 25309-2003
(304) 768-8500
(304) 768-8530
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1622
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0048565000
—
WV
Enumeration date
02/15/2006
Last updated
07/08/2007
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