J Kevin Dickenson MD
Surgery in Beckley, WV. Organization (NPI-2).
NPI number1043394471
StatusActive
Last updated in NPPESApr 30, 2009
Details
- NPI
- 1043394471
- Entity type
- Organization (NPI-2)
- Legal business name
- J Kevin Dickenson MD
- Organization subpart
- No
- Enumeration date
- Oct 24, 2006
- Last updated
- Apr 30, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 19735 | WV | Yes |
Practice location
2401 S Kanawha StSuite 104
Beckley, WV 25801-6967
Phone 304-894-8211 · Fax 304-894-8213
Mailing address
Po Box 207Beckley, WV 25802-0207
Phone 304-894-8211 · Fax 304-894-8213
Authorized official
Joseph Kevin Dickenson
Owner
3048948211
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