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Organization

ADDISON KIDNEY CONSULTING PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFERY F. ADDISON M.D. (MANAGING MEMBER)
(304) 205-7790
Entity
Organization

Contact information

Practice address
331 LAIDLEY ST, SUITE 307, CHARLESTON, WV 25301-1619
(304) 208-1414
(304) 344-2108
Mailing address
331 LAIDLEY ST STE 204, CHARLESTON, WV 25301-1605
(304) 205-7790
(304) 205-7792

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
15775
WV

Other

Enumeration date
01/08/2010
Last updated
02/20/2019
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